title: Assessment of the safety and efficacy of bedside ultrasound guidance for inferior vena cava filter placement in critically ill intensive care unit patients.
abstract: Inferior vena cava filters (IVCFs) have been used clinically for approximately 45 y, but only a few studies of these devices have involved intensive care unit (ICU) patients who were critically ill and had multiple-organ dysfunction or were otherwise too unstable for transport. The purpose of this research was to assess the tolerability and efficacy of bedside ultrasound-guided IVCF placement in ICU patients. A retrospective analysis of both bedside ultrasound-guided and X-ray-guided ICVF placement was performed from November of 2011 to August of 2013. The total success rate for ultrasound-guided IVCF placement was 93.4%, which included a 96.0% success rate in 25 ICU patients with an average age of 69.46 y. Six-month follow-up studies revealed no significant differences in long-term complications between the ultrasound- and X-ray-guided groups. IVCFs may be safely implanted under ultrasound guidance in a monitored ICU environment. Our conclusion is that patients should be fasting and should receive an enema and that pre-operative surface marking and dynamic monitoring should be employed. Further research is needed to develop specific ultrasound guidelines.
authors.affiliation: Ultrasound Department, Third People's Hospital of Chengdu and Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu City, Sichuan Province, People's Republic of China. Electronic address: 445716102@qq.com.
authors.forename: Ying
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Ultrasound Department, Third People's Hospital of Chengdu and Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu City, Sichuan Province, People's Republic of China.
authors.forename: Hong
authors.initials: H
authors.lastname: Zhou
authors.affiliation: Ultrasound Department, Third People's Hospital of Chengdu and Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu City, Sichuan Province, People's Republic of China.
authors.forename: ChangYu
authors.initials: C
authors.lastname: Chen
authors.affiliation: Department of Vascular Surgery, Third People's Hospital of Chengdu and Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu City, Sichuan Province, People's Republic of China.
authors.forename: Chi
authors.initials: C
authors.lastname: Cui
authors.affiliation: Radiology Department, Third People's Hospital of Chengdu and Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu City, Sichuan Province, People's Republic of China.
authors.forename: XiPin
authors.initials: X
authors.lastname: Liu
authors.affiliation: Radiology Department, Third People's Hospital of Chengdu and Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu City, Sichuan Province, People's Republic of China.
authors.forename: Qinwen
authors.initials: Q
authors.lastname: Liu
authors.affiliation: Ultrasound Department, Third People's Hospital of Chengdu and Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu City, Sichuan Province, People's Republic of China.
authors.forename: Ming
authors.initials: M
authors.lastname: Ye
authors.affiliation: Ultrasound Department, Third People's Hospital of Chengdu and Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu City, Sichuan Province, People's Republic of China.
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
mesh_terms: D000368:Aged; D003422:Critical Care / Q000379:methods*; D016638:Critical Illness; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging*; D020246:Venous Thrombosis / Q000628:therapy*
keywords: Efficacy; Inferior vena cava filters; Intensive care unit; Safety; Ultrasound