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HirosakiMedJ_67(2-4)_158.pdf126.9 kBAdobe PDF
タイトル: Aln Retrievable Vena Cava Filter - Efficacy, Safety and Retrievability -
著者: Fukuda, Wakako
Chiyoya, Mari
Saito, Yoshiaki
Taniguchi, Saoshi
Daitoku, Kazuyuki
Fukuda, Ikuo
著者所属: Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine
発行日: 27-Feb-2017
出版者: 弘前大学大学院医学研究科・弘前医学会
誌名: 弘前医学
巻: 67
号: 2-4
開始ページ: 158
終了ページ: 165
ISSN: 0439-1721
キーワード: IVC filter
ALN filter
抄録: Background: Retrievable inferior vena cava (IVC) filter devices have been developed to overcome the long-term complications of permanent filters. It is of interest to evaluate the retrievability of retrievable IVC filters and how safely the IVC filters indwelled for a long period of time can be retrieved. We reviewed a group of 44 patients, who were selected for ALN retrievable filter implantation and reviewed the indications, efficacy as well as complications. Material and Methods: 300 venous thromboembolism (VTE) patients were treated in our institution between 2003 and 2014. IVC filters were inserted in 84 cases (28%) and 44 of 84 patients received ALN retrievable filter implantation. We retrospectively reviewed the indications, efficacy and complications of 44 patients with ALN filters. Results: All 44 patients had deep vein thrombosis( DVT) and 39 patients( 88.6%) also had pulmonary embolism( PE). The most frequent associated risk factor for DVT was cancer( n=19). The filter was implanted for a median duration of 708.8 days( range 68-1717). While the filter was in place, at least one venous thromboembolic event occurred in 4.5% (2 of 44 patients). Filter retrieval was attempted in 8 patients( 18.2%) after a median period of 271.9 days( range 79 - 559). Filter retrievals were successful in all cases. Conclusion: This study showed the efficacy of ALN filter. It also demonstrated the safety of retrieval after a longterm placement.
URI: http://hdl.handle.net/10129/6016
テキストバージョン: publisher

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