Accurate deployment of vena cava filters: comparison of intravascular ultrasound and contrast venography.
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Biomedical subjects
Publications and source records attributed to J Silberzweig.
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In this era of changing health care systems, the word redesign is often linked with mergers, layoffs, or an economic move to balance the bottom line. Redesign is often perceived as a way to reduce the need for professional nurses by eliminating job functions. In this cost-cutting milieu, however, the most important factor--the patient--has been put aside. The article explores what factors contribute to patient satisfaction and describes the redesign process that was implemented at one institution to increase patients' satisfaction during hospitalization.
Deep venous thrombosis and pulmonary embolus are significant clinical problems. Although anticoagulation remains first-line therapy for thromboembolic disease, the placement of inferior vena cava filters plays an important role as alternative or supplemental therapy. Initial filters were high-profile devices intended to be placed via surgical cutdown. Concerns about the size of the delivery systems prompted development of low-profile systems intended specifically for percutaneous placement. The placement of filters has progressively become a percutaneous procedure performed by interventional radiologists outside of the operating room. This article reviews the currently available devices that have been approved by the Food and Drug Administration, their indications, efficacy, and complications. Experimental temporary filter designs are discussed as well.