Evolution of a new device for the prevention of pulmonary embolism

Mobin-Uddin, Kazi; Pleasant, Ron; Mobin-Uddin, Omar; Ahmad, Kamel

doi:10.1016/s0002-9610(05)80159-x

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…The high mortality and morbidity associated with surgical IVC interruption prompted the development of transvenous-inserted IVC filters, with the first generation device (Mobin-Uddin umbrella filter) introduced for clinical use in 1969. 33 Despite the potential to prevent PE, concerns about IVC patency, below-filter thrombosis, and device migration limited the use of the umbrella filter. 34 The Kimray–Greenfield filter was introduced in 1973, with the potential premise of having a lower risk of device thrombosis.…”

Section: Ivc Filtersmentioning

confidence: 99%

Developmental or Procedural Vena Cava Interruption and Venous Thromboembolism: A Review

Bikdeli,

Sadeghipour,

Lou

et al. 2024

Semin Thromb Hemost

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The inferior vena cava (IVC) and superior vena cava are the main conduits of the systemic venous circulation into the right atrium. Developmental or procedural interruptions of vena cava might predispose to stasis and deep vein thrombosis (DVT) distal to the anomaly and may impact the subsequent rate of pulmonary embolism (PE). This study aimed to review the various etiologies of developmental or procedural vena cava interruption and their impact on venous thromboembolism. A systematic search was performed in PubMed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines per each clinical question. For management questions with no high-quality evidence and no mutual agreements between authors, Delphi methods were used. IVC agenesis is the most common form of congenital vena cava interruption, is associated with an increased risk of DVT, and should be suspected in young patients with unexpected extensive bilateral DVT. Surgical techniques for vena cava interruption (ligation, clipping, and plication) to prevent PE have been largely abandoned due to short-term procedural risks and long-term complications, although survivors of prior procedures are occasionally encountered. Vena cava filters are now the most commonly used method of procedural interruption, frequently placed in the infrarenal IVC. The most agreed-upon indication for vena cava filters is for patients with acute venous thromboembolism and coexisting contraindications to anticoagulation. Familiarity with different forms of vena cava interruption and their local and systemic adverse effects is important to minimize complications and thrombotic events.

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Section: Ivc Filtersmentioning

confidence: 99%

Developmental or Procedural Vena Cava Interruption and Venous Thromboembolism: A Review

Bikdeli,

Sadeghipour,

Lou

et al. 2024

Semin Thromb Hemost

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“…This filter had 18 small perforations in a membrane suspended between steel struts; however, the very small perforations resulted in unacceptable high rates of IVC thrombosis (up to 60%). 3 IVC filter design was significantly improved several years later by Greenfield et al when the conical filter design was introduced. 4 Since that time, the incidence of filter-induced IVC thrombosis has decreased.…”

Section: Ivc Filters and Filter Bearing Ivc Thrombosismentioning

confidence: 99%

Management of the Thrombosed Filter-Bearing Inferior Vena Cava

Sıldıroğlu

Özer

Turba

2012

Semin intervent Radiol

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Inferior vena cava (IVC) filter thrombosis is a complex problem. Thrombus within an IVC filter may range from an asymptomatic small thrombus to critical IVC occlusion that affects both lower extremities. The published experience of IVC thrombosis management in relation to filters is either anecdotal or limited to a small group of patients; however, endovascular treatment methods appear to be safe and effective in patients with IVC thrombosis. This review focuses on filter-related IVC thrombosis and its endovascular management.

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Analysis of Curative Effect on Lower Vena Cava Thrombosis Associated with Filter Implantation

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2023

ACM

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Evolution of a new device for the prevention of pulmonary embolism

Cited by 3 publications

References 23 publications

Developmental or Procedural Vena Cava Interruption and Venous Thromboembolism: A Review

Developmental or Procedural Vena Cava Interruption and Venous Thromboembolism: A Review

Management of the Thrombosed Filter-Bearing Inferior Vena Cava

Analysis of Curative Effect on Lower Vena Cava Thrombosis Associated with Filter Implantation

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