Current practice of temporary vena cava filter insertion: a multicenter registry.

H Lorch; D Welger; V Wagner; B Hillner; E P Strecker; H Herrmann; G Voshage; C Zur; C Schwarzbach; J Schröder; U Gullotta; J Pleissner; S Huttner; U Siering; C Märcklin; A Chavan; F Gläser; D E Apitzsch; K Moubayed; J Leonhardi; U M Schuchard; H D Weiss; M Zwaan

doi:10.1016/s1051-0443(07)61287-1

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Current practice of temporary vena cava filter insertion: a multicenter registry.

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Abstract

PURPOSE: To evaluate the current practice of temporary vena cava filter placement and its complications. MATERIALS AND METHODS: A multicenter registry was conducted from May 1995 until May 1997 using a standardized questionnaire. One hundred eighty-eight patients were evaluated. Patient characteristics, filter indications, filter characteristics, and complications were registered. RESULTS: Deep vein thrombosis was proven in 95.2% of the patients. Main filter indication was thrombolysis therapy (53.1%). Average filter time was 5.4 days. An Antheor filter was inserted in 56.4%, a Guenther filter in 26.6%, and a Prolyser filter in 17.%. Transfemoral filter implantation was slightly preferred (54.8%). Four patients died of pulmonary embolism (PE) during filter protection. Major filter problems were filter thrombosis (16%) and filter dislocation (4.8%). When thrombus was found in or at the filter before explantation, additional thrombolysis was performed in 16.7%, additional filter implantation in 10%, and thrombus aspiration in 6.7%; 4.8% of filters were replaced with permanent filters. DISCUSSION: Temporary vena cava filters are placed to prevent PE in a defined patient population. Despite their presence, PEs still occur in a small percentage. Problems of filter thrombosis and dislocation have to be solved. CONCLUSION: The results of this multicenter registry support the need for innovative filter design, as well as a randomized, prospective study.

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Adolescent Adult Aged Aged, 80 and over Female Germany Humans Male Middle Aged Pulmonary Embolism Registries Thrombolytic Therapy Vena Cava Filters Journal Article Multicenter Study

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H Lorch, D Welger, V Wagner, B Hillner, E P Strecker, H Herrmann, G Voshage, C Zur, C Schwarzbach, J Schröder, U Gullotta, J Pleissner, S Huttner, U Siering, C Märcklin, A Chavan, F Gläser, D E Apitzsch, K Moubayed, J Leonhardi, U M Schuchard, H D Weiss, M Zwaan. 2000. Current practice of temporary vena cava filter insertion: a multicenter registry.. https://doi.org/10.1016/s1051-0443(07)61287-1

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