title: [Interruption of the inferior vena cava in the prevention of pulmonary embolism].
abstract: Pulmonary thromboembolism constitutes the third cause of death after cardiovascular accidents and malignant tumours. Prevention is regarded as the most appropriate and effective therapeutic option. Medical antithrombotic therapy is the most common approach, but when antithrombotic therapy with heparin cannot be performed, vena cava filters are necessary devices in many patients and situations. Over the period from 1995 to 2003, 72 patients were admitted to the Surgical Sciences, Orthopaedics, Trauma and Emergency and Biomorphological and Functional Sciences Departments of the Federico II University of Naples. On the basis of their clinical condition and thrombus characteristics, different filters were applied (definitive, temporary, tempofilter). Thorough clinical and imaging follow-up examinations showed the efficacy of vena cava interruption in the prevention of pulmonary embolism, as well as a low complication rate and convenient risk-benefit ratio. Tempofilter, which allows partial interruption of the vena cava for more than 6 weeks, would appear to be the best filtration device. It is effective in the prevention of pulmonary thromboembolism, is durable and does not entail any significant increase in recurrent venous thrombosis, as is the case with definitive vena cava filters.
authors.affiliation: Area Funzionale di Chirurgia Generale, Dipartimento di Scienze Chirurgiche Ortopediche Traumatologiche ed Emergenze, Università degli Studi di Napoli Federico II.
authors.forename: Francesco
authors.initials: F
authors.lastname: Milone
authors.forename: Vittorio
authors.initials: V
authors.lastname: Iaccarino
authors.forename: Mario
authors.initials: M
authors.lastname: Musella
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Salvatore
authors.forename: Piero
authors.initials: P
authors.lastname: Venetucci
authors.forename: Ciro
authors.initials: C
authors.lastname: De Martino
authors.forename: Marco
authors.initials: M
authors.lastname: Milone
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000517:prevention & control*; D012189:Retrospective Studies; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000601:surgery*