PMID: 8614083May 1, 1996Paper

Early placement of prophylactic vena caval filters in injured patients at high risk for pulmonary embolism

The Journal of Trauma
J L RodriguezL J Greenfield

Abstract

Pulmonary embolism (PE) is a major problem in patients with multiple injuries. We present our experience with early placement of prophylactic vena caval filters (VCFs). Prospective study group with historical control. From March 1993 to December 1993, VCFs were placed in 40 consecutive patients with three or more risk factors for PE and had demographic, physiologic, venous thromboembolic prophylaxis, and outcome data collected prospectively (VCF group). They were compared to 80 injured patients admitted between November 1991 and February 1993 who survived > 48 hours and who were matched with the VCF group for mechanism of injury and risk factors for PE (NO VCF group). VCF placement affected a significant reduction in the incidence of PE (2.5% vs. 17%) and a clinical reduction in PE-related mortality. Embolic trapping was suggested by a 10% incidence of documented vena caval thrombi and although two patients developed significant venous stasis disease, no other VCF-related morbidity was noted. In spite of long-term morbidity, early prophylactic VCF placement is safe and should be considered in the prophylaxis of PE in the high-risk injured patients. This intervention may be effective in eliminating PE as a major cause of posttra...Continue Reading

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Citations

Mar 26, 2004·Thrombosis Research·Timothy D GirardDaniel M Becker
Feb 28, 2001·Journal of the American College of Surgeons·S H NorwoodJ W McLarty
May 3, 2001·Journal of the American College of Surgeons·R F SingB T Heniford
Mar 2, 2011·Seminars in Interventional Radiology·Hamed Aryafar, Thomas B Kinney
Feb 20, 1997·The New England Journal of Medicine·T Osler, F Rogers
Jan 27, 2000·The Journal of Trauma·F B RogersS R Shackford
Dec 12, 2001·The Journal of Trauma·J SekharanE R Frykberg
Mar 20, 2002·The Journal of Trauma·Mark D CipolleMichael D Pasquale
Mar 14, 2003·The Journal of Trauma·Terive DuperierSanjeev Kaul
Oct 5, 2001·Current Opinion in Pulmonary Medicine·D J Hak
Jul 31, 2004·The Journal of Trauma·Christopher S MorrisSteven R Shackford
Dec 31, 2005·The Journal of Trauma·Alan CookBenjamin Littenberg
Feb 4, 2006·The Journal of Trauma·Jared L AntevilStephen S Kaminski
Nov 27, 2008·Journal of Medical Imaging and Radiation Oncology·M F GivenS M Lyon
Apr 25, 2000·Annual Review of Medicine·P GirardH Decousus
Nov 16, 2011·Thrombosis·Serdar TokerSteven J Morgan
Mar 9, 2010·Journal of Trauma Management & Outcomes·Indraneel DattaJohn B Kortbeek
Sep 24, 2004·AJR. American Journal of Roentgenology·Gregory HenkleBrian Funaki
Dec 3, 2010·Surgical Neurology International·Aaron Roberts, William F Young
Aug 13, 2013·Blood Reviews·Anita Rajasekhar, Michael B Streiff
Mar 12, 2008·World Journal of Surgery·Konstantinos SpaniolasHasan B Alam
Sep 14, 2010·Annals of Vascular Surgery·Faisal Aziz, Anthony J Comerota
Aug 5, 2010·Current Problems in Surgery·Matthew J MartinNiten Singh
Jun 9, 1998·Journal of Vascular and Interventional Radiology : JVIR·S F Millward
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Oct 16, 2007·The Surgical Clinics of North America·Matthew J Martin, Ali Salim
Sep 5, 2012·ANZ Journal of Surgery·Lachlan M BattySusan M Liew
Oct 31, 2006·Injury·Peter V GiannoudisJai V Patel
Nov 26, 2005·American Journal of Surgery·N N KirilcukS I Brundage
Nov 29, 2005·Journal of the American College of Surgeons·Babak SaraniAnthony Venbrux
Sep 20, 2005·Seminars in Vascular Surgery·John E Rectenwald
Sep 16, 1999·American Journal of Surgery·M E BenjaminW R Flinn

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