[Vena cava filter].
Fulminant pulmonary embolism is one of the major causes of death in the Western World. In most cases, deep leg and pelvic venous thrombosis are the cause. If an anticoagulant/thrombotic therapy is no longer possible or ineffective, a vena cava filter implant may be indicated if an embolism is threatening. Implantation of the filter is a simple and safe intervention. Nevertheless, it is necessary to take into consideration that the data base for determining the indications for this treatment are very limited. Currently, a reduction in the risk of thromboembolism with the use of filters of about 30%, of recurrences of almost 5% and fatal pulmonary embolism of 1% has been reported, with a risk of up to 20% of filter induced vena cava thrombosis.
Helmberger
T
T
Institut für Diagnostische und Interventionelle Radiologie und Nuklearmedizin, Klinikum Bogenhausen, Englschalkinger Strasse 77, 81925, München, Germany. thomas.helmberger@kh-bogenhausen.de
D006801:Humans; D011300:Preoperative Care; D011655:Pulmonary Embolism / Q000517:prevention & control; D012008:Recurrence; D012307:Risk Factors; D013923:Thromboembolism / Q000517:prevention & control*; D016306:Vena Cava Filters / Q000009:adverse effects; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000209:etiology