title: Clinical experience with the Mobin-Uddin vena cava umbrella filter.
abstract: The Mobin-Uddin vena cava filter has been used at Boston University Medical Center since 1971. The umbrella filter has been placed in 128 high-risk patients with a mean age of 60 years, 42% of whom had malignancies. The operative morbidity consists of five wound hematomas, one misplaced umbrella, one retroperitoneal hematoma, and one acute vena cava occlusion, with a total operative morbidity of 6.2%. No patients died of the actual pacement, and the 30-day hospital mortality was 7.0%. Late sequaelae included an incidence of mild edema of 6% and severe edema of 16%. We know of no patients in our series who had recurrent pulmonary embolism. In our experience, the Mobin-Uddin vena cava umbrella filter is a safe, effective method of vena cava interruption in a high-risk population with a low operative morbidity and a low 30-day mortality.
mesh_terms: D005260:Female; D005374:Filtration / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000517:prevention & control; D011859:Radiography; D012189:Retrospective Studies; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000517:prevention & control; D014682:Vena Cava, Inferior / Q000601:surgery*