000094581 001__ 94581
000094581 005__ 20200813085925.0
000094581 0247_ $$2doi$$a10.1186/s42155-020-00114-5
000094581 0248_ $$2sideral$$a117511
000094581 037__ $$aART-2020-117511
000094581 041__ $$aeng
000094581 100__ $$0(orcid)0000-0002-5618-7519$$aDe Gregorio, Miguel A.$$uUniversidad de Zaragoza
000094581 245__ $$aSpanish multicenter real – life registry of retrievable vena cava filters (REFiVeC)
000094581 260__ $$c2020
000094581 5060_ $$aAccess copy available to the general public$$fUnrestricted
000094581 5203_ $$aBackground
The treatment of venous thromboembolic disease the treatment of choice is systemic anticoagulation. However, the interruption of the inferior vena cava with filters has been recommended when anticoagulation fails or there is a contraindication. Due to the rising inferior vena cava filter (IVCF) complications, physicians are encouraged to retrieve them when there is no longer recommended. In daily practice, it may be a difficult close follow-up of these patients. In this study, the primary objective was to evaluate the IVCF retrieval rate of all implanted filters in a Spanish registry. Secondary objectives were to analyze the causes of failed retrieval, procedure-related complications, and outcomes at a 12-month follow-up.
Results
Three hundred fifty-six vena cava filters were implanted in 355 patients. The types of filter were: Gunther Tulip (Cook Medical) 160 (44.9%), Optease (Cordis) 77 (21.6%), Celect (Cook Medical) 49 (13, 7%), Aegisy (Lifetech Scientific) 33 (9.2%), Option ELITE (Argon Medical devices) 16 (4.4%), Denali filter (BD Bard) 11 (3.08%), ALN filter (ALN) 10 (2.8%).
Removal was achieved in 274/356 (76,9%). eighty-two (23,1%) IVCF were not retrieved due to the following: 41 (11,5%) patients required ongoing filtration, 24 IVCF (6,7%) patients died before retrieval, and 17 (4,7%) impossibility of retrieval because of a tilted and embedded filter apex. There were no major complications observed.
Conclusions
The global retrieval rate of IVCF was achieved in 76.9%, and the adjusted retrieval rate was of 94.15% with no major complications. IVCF tilting was associated with failure of filter removal in less than 5% of cases. This study demonstrates that the retrieval procedure of IVCF is controlled by the clinician and not by the interventional radiologist.
000094581 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000094581 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000094581 700__ $$0(orcid)0000-0002-0113-5121$$aGuirola, Jose A.$$uUniversidad de Zaragoza
000094581 700__ $$aUrbano, Jose
000094581 700__ $$aDíaz-Lorenzo, Ignacio
000094581 700__ $$aMuñoz, Jose J.
000094581 700__ $$aVillacastin, Elena
000094581 700__ $$aLopez-Medina, Antonio
000094581 700__ $$aFigueredo, Ana L.
000094581 700__ $$aGuerrero, Javier
000094581 700__ $$aSierre, Sergio
000094581 700__ $$aBlazquez Sanchez, Javier
000094581 700__ $$aKuo, William T.
000094581 700__ $$aJimenez, David
000094581 7102_ $$11011$$2770$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Radiol. y Medicina Física
000094581 773__ $$g3 (2020), 26 [9 pp.]$$pCVIR Endovasc.$$tCVIR endovascular$$x2520-8934
000094581 8564_ $$s845854$$uhttps://zaguan.unizar.es/record/94581/files/texto_completo.pdf$$yVersión publicada
000094581 8564_ $$s40987$$uhttps://zaguan.unizar.es/record/94581/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000094581 909CO $$ooai:zaguan.unizar.es:94581$$particulos$$pdriver
000094581 951__ $$a2020-08-13-07:56:32
000094581 980__ $$aARTICLE