[First experiences with temporary vena cava filters].
OBJECTIVE
For prophylactic measures we used 3 different temporarily insertable vena cava filters.


METHODS
In 49 patients we inserted 12 Cook-filters (6 transjugular, 6 transfemoral), 11 Angio-cor-filters (1 transjugular, 10 transbrachial), 26 Antheor-filters (1 transjugular, 1 transfemoral, 24 transbrachial). 35 patients underwent a lysis therapy, 11 a major operation of the pelvis, and 3 patients a Caesarean section.


RESULTS
No patient suffered from a clinically significant pulmonary embolism after filter insertion, but complications occurred caused by the basic therapy (1 lethal abdominal aortic aneurysm operation, 1 cerebral bleeding, 2 retroperitoneal haematomas, 2 streptokinase fever reactions, 1 compartment syndrome, 1 macro-haematuria) or by therapy joined with the filters insertion (2 groin haematomas, 2 haematomas of the bend of the elbow, 2 subclavian vein thrombosis, 1 catheter dislocation, 1 infection, 1 air embolism, 1 break of a leg of the filter basket).


CONCLUSIONS
Temporary vena cava filters are highly efficient in preventing pulmonary embolism, but the side-effects show that they should only be inserted in patients with known deep vein thrombosis and a high risk treatment of the underlying disease.
Zwaan
M
M
Institut für Radiologie, Medizinischen Universität zu Lübeck.
Kagel
C
C
Marienhoff
N
N
Weiss
H D
HD
Grimm
W
W
Eberhard
I
I
Schwieder
G
G
D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000517:prevention & control; D013997:Time Factors; D016306:Vena Cava Filters / Q000009:adverse effects
Erste Erfahrungen mit temporären Vena-cava-Filtern.