Günther Tulip and Celect IVC Filters in Multiple-Trauma Patients

Rosenthal, David; Kochupura, Paul V.; Wellons, Eric D.; Burkett, Allison B.; Methodius-Rayford, Walaya C.

doi:10.1583/09-2728.1

Cited by 22 publications

(8 citation statements)

References 18 publications

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“…Gorman et al [97] using these filters in 113 trauma patients concluded that retrievable filters were safe and effective in preventing PE in high-risk patients. Rosenthal et al [99] concluded that retrievable VCFs could even be placed in bedside in ICU in critically ill trauma patients and it was a safe and simple technique that was avoiding the transportation of the patient out of ICU. Cherry et al [100] using the prophylactic retrievable VCFs in trauma patients, reported 1.6% PE rate, high retrieval rate (59%), low complication rate (0.1%), and satisfactory compliance with traditional Eastern Association for the Surgery of Trauma (EAST) guidelines.…”

Section: Vena Cava Filters (Vcfs)mentioning

confidence: 99%

Deep Vein Thrombosis Prophylaxis in Trauma Patients

2011

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Deep vein thrombosis (DVT) and pulmonary embolism (PE) are known collectively as venous thromboembolism (VTE). Venous thromboembolic events are common and potentially life-threatening complications following trauma with an incidence of 5 to 63%. DVT prophylaxis is essential in the management of trauma patients. Currently, the optimal VTE prophylaxis strategy for trauma patients is unknown. Traditionally, pelvic and lower extremity fractures, head injury, and prolonged immobilization have been considered risk factors for VTE; however it is unclear which combination of risk factors defines a high-risk group. Modalities available for trauma patient thromboprophylaxis are classified into pharmacologic anticoagulation, mechanical prophylaxis, and inferior vena cava (IVC) filters. The available pharmacologic agents include low-dose heparin (LDH), low molecular weight heparin (LMWH), and factor Xa inhibitors. Mechanical prophylaxis methods include graduated compression stockings (GCSs), pneumatic compression devices (PCDs), and A-V foot pumps. IVCs are traditionally used in high risk patients in whom pharmacological prophylaxis is contraindicated. Both EAST and ACCP guidelines recommend primary use of LMWHs in trauma patients; however there are still controversies regarding the definitive VTE prophylaxis in trauma patients. Large randomized prospective clinical studies would be required to provide level I evidence to define the optimal VTE prophylaxis in trauma patients.

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Section: Vena Cava Filters (Vcfs)mentioning

confidence: 99%

Deep Vein Thrombosis Prophylaxis in Trauma Patients

2011

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“…A recent report examining 2 different types of filters also found that venous access site DVTs occurred more frequently in patients in which a double-puncture technique was used instead of a single-puncture technique. 15 As such, we were interested in comparing our rates of venous access site DVT with those seen using a double-puncture technique. We found that only 2% (n ¼ 2) of the patients in our series developed DVT at the site of vascular access, which is lower than the reported rates using the double-puncture technique.…”

Section: Discussionmentioning

confidence: 99%

“…Such technique, however, is often associated with higher access site complications and prolonged procedure times in comparison to a single venous puncture technique. 15 Moreover, it is unclear whether direct supervision of filter deployment using real-time IVUS guidance, which necessitates the double-puncture technique, improves positioning compared to filter deployment without real-time IVUS guidance (as occurs in a single-puncture technique). Therefore, in order to help answer these questions, we retrospectively reviewed our experience with IVUS-guided IVC filter placement within an interventional radiology (IR) division using a single-puncture technique over a 7-year period.…”

Section: Introductionmentioning

confidence: 99%

Intravascular Ultrasound-Guided Inferior Vena Cava Filter Placement Using a Single-Puncture Technique in 99 Patients

Gunn

Iqbal

Kalva

et al. 2013

Vasc Endovascular Surg

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“…IVCFs can be divided into permanent and retrievable ones. 26 The main determinant as to which device to deploy is the size of the IVC. Each filter model has a different maximum diameter of IVC it can function within.…”

Section: Description Of Ivcfsmentioning

confidence: 99%

Review article: Do inferior vena cava filters prevent pulmonary embolism in critically ill trauma patients and does the benefit outweigh the risk of insertion? A narrative review article

Moynihan

Koelzow

2018

Emerg Medicine Australasia

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Venous thromboembolic disease (VTE) increases the risk of mortality in trauma patients. To decrease the occurrence of VTE, low dose anticoagulants are commonly prescribed. This may be unacceptable in trauma patients who have a high risk of bleeding. Inferior vena cava (IVC) filters can be employed as an alternative strategy to decrease the risk of pulmonary embolism (PE). Insertion of an IVC filter is an invasive procedure that has a range of complications. The benefits of IVC filter insertion must be compared to its risk of complications in each individual patient. A search of the literature since 2005 was conducted on MEDLINE, Evidence-Based Medicine Reviews, Cochrane Central Register of Controlled Trials and Embase. The clinical question posed was does prophylactic IVC filter insertion decrease the risk of PE in trauma patients? The available evidence was low level and unable to definitively answer this question. The majority of articles infer that IVC filter insertion is safe and may decrease the risk of PE. However, there is a need for well-designed randomised controlled trials to be conducted in this area.

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Günther Tulip and Celect IVC Filters in Multiple-Trauma Patients

Cited by 22 publications

References 18 publications

Deep Vein Thrombosis Prophylaxis in Trauma Patients

Deep Vein Thrombosis Prophylaxis in Trauma Patients

Intravascular Ultrasound-Guided Inferior Vena Cava Filter Placement Using a Single-Puncture Technique in 99 Patients

Review article: Do inferior vena cava filters prevent pulmonary embolism in critically ill trauma patients and does the benefit outweigh the risk of insertion? A narrative review article

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