NEW RETRIEVABLE PERCUTANEOUS VENA-CAVA FILTER - EXPERIMENTAL IN-VITRO AND IN-VIVO EVALUATION

被引:61
作者
NEUERBURG, J
GUNTHER, RW
RASSMUSSEN, E
VORWERK, D
TONN, K
HANDT, S
KUPPER, W
HANSEN, JV
机构
[1] Department of Diagnostic Radiology, University of Technology Aachen, Aachen, D-52057
[2] William Cook Europe A/S, Bjaeverskov, DK-4632
[3] Department of Pathology, University of Technology Aachen, Aachen, D-52057
[4] Department of Experimental Veterinary Medicine, University of Technology Aachen, Aachen, D-52057
[5] Metallurgy Department, Force Institutes, Brondby, DK-2605
关键词
EMBOLISM; PULMONARY; VENA-CAVA; FILTERS; THROMBOSIS; FILTER RETRIEVAL; FILTER FATIGUE TESTING; FILTER COMPARISON; FILTER THROMBUS CAPTURE;
D O I
10.1007/BF02602965
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A new retrievable percutaneous vena cava filter was tested in vitro and in vivo in 15 foxhounds. In vitro, the new vena cava filter was compared with the standard Kimray-Greenfield filter and the Gunther basket filter. The new filter is a stainless steel half-basket filter and is suitable for percutaneous antegrade or retrograde insertion through a 8.5 Fr introducer sheath. In vitro testing showed the filter causing no significant flow alterations and being highly effective in capturing medium- and large-sized thrombi; furthermore, fatigue testing revealed no breakage of the new filter, whereas the Gunther basket filter showed breakage of the struts. In vivo studies showed no occlusion, major perforation, or filter migration during follow-up of 2 weeks to 6 months. Tilting of the filter postimplantation occurred in two out of 28 filters. Ten of 11 filters were successfully retrieved by the transjugular approach 2 weeks after implantation. The device seems to be suitable for temporary or permanent protection against pulmonary embolism.
引用
收藏
页码:224 / 229
页数:6
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