scholarly journals Abstract No. 665 Association of inferior vena cava filter placement and mortality among in-patients with pulmonary embolism after adjusting for immortal time bias

2020 ◽  
Vol 31 (3) ◽  
pp. S286-S287
Author(s):  
V. Wadhwa ◽  
P. DeWitt ◽  
J. Lindquist ◽  
P. Trivedi
2007 ◽  
Vol 3 (4) ◽  
pp. 461-464 ◽  
Author(s):  
Christa M. Trigilio-Black ◽  
Chad D. Ringley ◽  
Corrigan L. McBride ◽  
Victor J. Sorensen ◽  
Jon S. Thompson ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Sara Valadares ◽  
Fátima Serrano ◽  
Rita Torres ◽  
Augusta Borges

The authors present a case of a 27-year-old multiparous woman, with multiple thrombophilia, whose pregnancy was complicated with deep venous thrombosis requiring placement of a vena cava filter. At 15th week of gestation, following an acute deep venous thrombosis of the right inferior limb, anticoagulant therapy with low-molecular-weight heparin (LMWH) was instituted without improvement in her clinical status. Subsequently, at 18 weeks of pregnancy, LMWH was switched to warfarin. At 30th week of gestation, the maintenance of high thrombotic risk was the premise for placement of an inferior vena cava filter for prophylaxis of pulmonary embolism during childbirth and postpartum. There were no complications and a vaginal delivery was accomplished at 37 weeks of gestation. Venal placement of inferior vena cava filters is an attractive option as prophylaxis for pulmonary embolism during pregnancy.


2014 ◽  
Vol 28 (4) ◽  
pp. 606-609
Author(s):  
Noriko Takai ◽  
Yoshihiro Takasugi ◽  
Ryuji Kajikawa ◽  
Toru Takase ◽  
Yoshio Yamamoto ◽  
...  

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Isabel Esteves ◽  
Sofia Vidal Castro ◽  
Francisco Abecasis ◽  
Cristina Camilo ◽  
Marisa Vieira ◽  
...  

A 14-year-old patient presented with bilateral pneumonia and pleural effusions, septic arthritis of the hip, deep venous thrombosis, and pulmonary thromboembolism. Methicillin-sensitiveStaphylococcus aureus(S. aureus) containing the Panton Valentine Leukocidin (PVL) genes was isolated. Contraindication to anticoagulation prompted inferior vena cava filter placement. He completed 4 weeks of treatment with flucloxacillin, with good clinical outcome.S. aureuscontaining PVL genes should be sought in cases of necrotizing pneumonia as it seems to increase the risk of severe multifocal infection and thrombotic complications. There are few reports of placement of filters duringS. aureussepsis and bacteraemia. This case highlights that when anticoagulation is not feasible, an inferior vena cava filter can be inserted safely, even in patients with active sepsis and high risk for seeding of the filter. Long-term follow-up confirmed a successful outcome with sterilization of the septic thrombosis with no further pulmonary embolism or additional sepsis episodes.


2021 ◽  
Vol 10 (3) ◽  
pp. 205846012199934
Author(s):  
Thien Trung Tran ◽  
Haraldur Bjarnason ◽  
Jennifer McDonald ◽  
Nils Oddvar Skaga ◽  
Damon E Houghton ◽  
...  

Background Prophylactic use of inferior vena cava filters to prevent pulmonary embolism in trauma is controversial. The practice varies between hospitals and countries, in part due to conflicting evidence and guidelines. Purpose To compare the effects of pulmonary embolism, deep venous thrombosis and mortality in two hospitals using prophylactic inferior vena cava filter placement or prophylactic anticoagulation alone. Material and Methods Patients presenting with severe trauma were recruited from two level-1 trauma centres between January 2008 and December 2013. Recruited patients from an US hospital having prophylactic inferior vena cava filter inserted were compared to a Scandinavian hospital using prophylactic anticoagulation alone. Inclusion criteria were age >15 years, Injury Severity Score >15 and survival >24 h after hospital admission. Patients with venous thromboembolism diagnosed prior to inferior vena cava filter placement were excluded. A Cox proportional hazard regression model was used with adjustment for immortal time bias and predictor variables. Results In total, 951 patients were reviewed, 282 from an US hospital having inferior vena cava filters placed and 669 from a Scandinavian hospital without inferior vena cava filters. The mean age was 45.9 vs. 47.4 years and the mean Injury Severity Score was 29.8 vs. 25.9, respectively. Inferior vena cava filter placement was not associated with the hazard of pulmonary embolism (Hazard ratio=0.43; 95% confidence interval (CI) 0.12, 1.45; P=0.17) or mortality (Hazard ratio=1.16; 95% CI 0.70, 1.95; P=0.56). However, an increased rate of deep venous thrombosis was observed with inferior vena cava filters in place (Hazard ratio=3.75; 95% CI 1.68, 8.36; P=0.001). Conclusion In severely injured trauma patients, prophylactic inferior vena cava filter placement was not associated with pulmonary embolism or mortality. However, inferior vena cava filters were associated with increased rate of deep venous thrombosis.


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