PMID: 7540444Mar 1, 1995Paper

Outcome of patients with advanced neoplastic disease receiving vena caval filters

Journal of Vascular and Interventional Radiology : JVIR
S V Lossef, K H Barth

Abstract

The authors examined the appropriateness and outcome of inferior vena caval (IVC) filter placements in patients with advanced malignancies and limited expected survival. Over a 35-month period, 35 IVC filters were inserted in 34 adult patients with advanced neoplasms. Follow-up was as long as 28 months (mean, 5.2 months). Filter effectiveness, complications, recurrent pulmonary emboli, patient survival, and hospital discharge status were recorded. Twenty-eight patients (82%) were discharged home (n = 21) or to nursing facilities (n = 7) between 1 and 193 days (mean, 23 days) after filter insertion. Six patient (18%) died during hospitalization 1-95 days after filter insertion. The overall mean survival was 6.6 months; for patients with stage III and IV tumors mean survival was 8.0 and 5.5 months, respectively. Even among patients with stage IV disease, 59% survived longer than 3 months. There were no complications related to filter insertion and no clinical evidence of recurrent pulmonary emboli. In 14% of patients, filters enabled invasive therapeutic and palliative procedures to be performed. The presence of advanced neoplastic disease by itself should not be a deterrent to insertion of IVC filters, as most patients survived ...Continue Reading

Citations

Apr 1, 1997·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·L J GreenfieldA Saluja
Mar 14, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Mark O Baerlocher, Murray R Asch
Oct 24, 2000·The Orthopedic Clinics of North America·C BibboJ Benevenia
May 16, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J M SchleichC Almange
Mar 24, 2005·Blood Reviews·Christine L Hann, Michael B Streiff
Sep 9, 2006·Vascular and Endovascular Surgery·Christian SchunnUsman Waheed
Jun 11, 2004·Journal of Intensive Care Medicine·Michael B Streiff
Feb 22, 2012·Sensors·Alphus D Wilson, Manuela Baietto
Sep 30, 2008·British Journal of Hospital Medicine·Umar SadatMichael Gaunt

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