PMID: 15346056Sep 4, 2004Paper

Inferior vena cava filters prevent pulmonary emboli in patients with metastatic pathologic fractures of the lower extremity

Clinical Orthopaedics and Related Research
Joseph BeneveniaPeter J Pappas

Abstract

The records of 47 consecutive patients with metastatic pathologic fractures of the lower extremity were analyzed with respect to thromboembolic complications. All patients were unable to receive pharmacologic deep venous thrombosis prophylaxis, and were stratified into two groups, based on use of an inferior vena cava filter. Group I (n = 24) consisted of patients who had an inferior vena cava filter plus mechanical deep venous thrombosis prophylaxis (compression stockings and sequential compression boots); Group II (n = 23) consisted of a group of patients receiving only mechanical deep venous thrombosis prophylaxis. All patients had routine lower extremity venous duplex imaging preoperatively, postoperatively, and before hospital discharge. At final followup, patients were examined for deep venous thrombosis and reviewed for thromboembolic events. At a mean followup of 11.5 months, Group I had two detectable deep venous thromboses and no pulmonary emboli; Group II had one detectable deep venous thrombosis and five pulmonary embolisms. In Group II, 40% (two of five) of pulmonary embolisms were fatal, yielding an 8.7% (two of 23) group mortality rate. Overall, the entire group had an approximately 17% deep venous thrombosis rat...Continue Reading

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Citations

Nov 8, 2008·Clinical Orthopaedics and Related Research·Benjamin TuyJoseph Benevenia
Jan 1, 2008·The Open Orthopaedics Journal·Takeshi MoriiKazuhiko Satomi
Sep 5, 2018·Clinical Orthopaedics and Related Research·Olivier Q GrootJoseph H Schwab
May 22, 2013·Clinical Orthopaedics and Related Research·Koichi OguraHirotaka Kawano
Jul 8, 2016·SpringerPlus·Vivek Ajit SinghAnushya Vijayananthan
Dec 1, 2020·The Bone & Joint Journal·Johnathan R LexUNKNOWN British Orthopaedic Oncology Society VTE Committee
May 29, 2019·Clinical Orthopaedics and Related Research·Olivier Q GrootJoseph H Schwab
Aug 10, 2021·Journal of Surgical Oncology·Valdis LelkesJoseph Benevenia

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