Superior vena cava filter placement over existing central venous lines: Is line removal necessary?
Adult
Aged
Aged, 80 and over
Catheterization, Central Venous
/ adverse effects
Catheters, Indwelling
Central Venous Catheters
Feasibility Studies
Female
Humans
Male
Middle Aged
Prosthesis Implantation
/ adverse effects
Retrospective Studies
Treatment Outcome
Upper Extremity Deep Vein Thrombosis
/ diagnostic imaging
Vena Cava Filters
Vena Cava, Superior
/ diagnostic imaging
filters
pulmonary embolism
superior vena cava
thrombosis
Journal
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139
Informations de publication
Date de publication:
01 09 2020
01 09 2020
Historique:
received:
05
02
2020
revised:
09
04
2020
accepted:
23
04
2020
pubmed:
10
5
2020
medline:
7
4
2021
entrez:
9
5
2020
Statut:
ppublish
Résumé
To evaluate the technical feasibility and clinical safety of superior vena cava (SVC) filter placement over preexisting central venous lines (CVLs) in 23 patients who had upper extremity deep venous thrombosis with contraindications to anticoagulation. A retrospective review of the images and electronic medical records of 23 patients from 2008 to 2018 with SVC filters placed over an existing central venous line was performed in a single tertiary medical center. Twenty-one filters were placed over smaller lines (<8 Fr), and two were placed over hemodialysis catheters. Venograms before and after filter placement were compared to detect any evidence of line displacement or entrapment. Medical records were reviewed to determine whether there was any difficulty during line removal. In two of five patients with dual lines, significant line displacement was noted in the left-sided lines, both lines were later removed without complications. In one patient with a hemodialysis catheter, the filter was deployed over the tip of the catheter resulting in the entrapment of one of the legs of the filter within a side hole of the line. Fourteen patients had their lines later removed 3 days to 3 months after filter placement without reported problems. Nine patients had their CVLs left in place until the patient's death or discharge to a long-term facility. SVC filter placement over preexisting CVLs seems to be technically feasible and clinically safe in patients with <8-Fr CVLs. However, placement of the filters over hemodialysis catheters can result in leg entrapment.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
651-656Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 Wiley Periodicals, Inc.
Références
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