Analysis of the transition to percutaneous placement of Greenfield filters

Archives of Surgery
R J HyeA C Roberts

Abstract

To establish whether a transition from surgical to percutaneous placement of Greenfield filters was justified, a review of the safety, efficacy, and cost-effectiveness of the two approaches was conducted. Between 1984 and 1989, 168 filters were placed in 169 patients, 48 surgically and 120 percutaneously. Placement was successful in 45 (94%) of the 48 surgical patients and 120 (99%) of the 121 percutaneous patients. Filter misplacement occurred in three (6%) surgical patients and no percutaneous patients. Clinically evident femoral vein thrombosis occurred in only four (5%) of the percutaneous patients, while inferior vena cava thrombosis occurred in three (3%) of the percutaneous patients. One pulmonary embolus occurred after percutaneous filter placement and resulted in death. The cost of percutaneous placement was 58% that of surgical placement. A retrospective review of the experience in our patient population indicates that safety, cost, and ease of insertion make the percutaneous approach the procedure of choice for Greenfield filter placement.

Citations

Sep 6, 2011·Journal of Vascular and Interventional Radiology : JVIR·Drew M CaplinUNKNOWN Society of Interventional Radiology Standards of Practice Committee
Nov 1, 1992·Journal of Vascular and Interventional Radiology : JVIR·E S MaldenG A Sicard
Aug 1, 1994·American Journal of Surgery·J J AlexanderJ J Piotrowski
Feb 4, 2009·Journal of Intensive Care Medicine·Michael HaleyRonald F Sing
Jun 11, 2004·Journal of Intensive Care Medicine·Michael B Streiff
May 1, 1997·Catheterization and Cardiovascular Diagnosis·U B ChintalapudiM V Azodo
Sep 30, 2008·British Journal of Hospital Medicine·Umar SadatMichael Gaunt
Dec 19, 2003·The Medical Clinics of North America·Marcelo P V GomesSteven R Deitcher

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
L J Greenfield, Mary C Proctor
Journal of Vascular and Interventional Radiology : JVIR
T C McCowanW M Molpus
Journal of Vascular and Interventional Radiology : JVIR
T P MurphyE J Ferris
Journal of Vascular and Interventional Radiology : JVIR
B S MooreJ J Bookstein
© 2021 Meta ULC. All rights reserved