Filtros de vena cava inferior en posición suprarrenal

Background: Inferior vena cava (IVC) filters are used to prevent massive pulmonary embolism in cases where anticoagulation is contraindicated or has failed. It is usually implanted below the renal veins. In a few cases it is necessary to deploy the filter above them, with theoretical rísk of seconda...

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Autores principales:	Mariné M,Leopoldo, Mertens M,Renato, Krämer Sch,Albrecht, Valdés E,Francisco, Bergoeing R,Michel, Arriagada J,Ivette, Vergara G,Jeanette, Carvajal N,Claudia
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Filters, inferior vena cava Pulmonary embolism Vena cava, inferior
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001200005
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spelling	oai:scielo:S0034-988720080012000052009-03-23Filtros de vena cava inferior en posición suprarrenalMariné M,LeopoldoMertens M,RenatoKrämer Sch,AlbrechtValdés E,FranciscoBergoeing R,MichelArriagada J,IvetteVergara G,JeanetteCarvajal N,Claudia Filters, inferior vena cava Pulmonary embolism Vena cava, inferior Background: Inferior vena cava (IVC) filters are used to prevent massive pulmonary embolism in cases where anticoagulation is contraindicated or has failed. It is usually implanted below the renal veins. In a few cases it is necessary to deploy the filter above them, with theoretical rísk of secondary renal failure. Aim: To report the experience with filters located above the renal veins. Patients and Methods: Medical records of all patients with percutaneous suprarenal filters are reviewed. Results: Between May 1993 and May 2007, 361 percutaneous IVC filter procedures were performed. In thirty patients aged 19 to 77 years (average 48years, 50% males), they were placed in suprarenalposition (8,3%). Suprarenal IVC filters were implanted in patients with extensive caval thrombosis, renal vein thrombosis extending to cava, displacement of previous IVC filters and double IVC system. Jugular vein approach was the access of choice. Technical success was 100%, no death or pulmonary embolism occurred. Patients were followed from 1 to 165 months (average 57 months). Eight deaths were recorded, five in patients with cáncer No patient had renal failure on follow up (average creatinine 0.90+0,26 mg/dL). Three patients developed a new deep vein thrombosis (10%), without pulmonary embolism. Conclusions: In this retrospective analysis of patients, suprarenal placement of IVC filters was not associated to secondary renal failure, and showed good short and long term results.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.12 20082008-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001200005es10.4067/S0034-98872008001200005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Filters, inferior vena cava Pulmonary embolism Vena cava, inferior
spellingShingle	Filters, inferior vena cava Pulmonary embolism Vena cava, inferior Mariné M,Leopoldo Mertens M,Renato Krämer Sch,Albrecht Valdés E,Francisco Bergoeing R,Michel Arriagada J,Ivette Vergara G,Jeanette Carvajal N,Claudia Filtros de vena cava inferior en posición suprarrenal
description	Background: Inferior vena cava (IVC) filters are used to prevent massive pulmonary embolism in cases where anticoagulation is contraindicated or has failed. It is usually implanted below the renal veins. In a few cases it is necessary to deploy the filter above them, with theoretical rísk of secondary renal failure. Aim: To report the experience with filters located above the renal veins. Patients and Methods: Medical records of all patients with percutaneous suprarenal filters are reviewed. Results: Between May 1993 and May 2007, 361 percutaneous IVC filter procedures were performed. In thirty patients aged 19 to 77 years (average 48years, 50% males), they were placed in suprarenalposition (8,3%). Suprarenal IVC filters were implanted in patients with extensive caval thrombosis, renal vein thrombosis extending to cava, displacement of previous IVC filters and double IVC system. Jugular vein approach was the access of choice. Technical success was 100%, no death or pulmonary embolism occurred. Patients were followed from 1 to 165 months (average 57 months). Eight deaths were recorded, five in patients with cáncer No patient had renal failure on follow up (average creatinine 0.90+0,26 mg/dL). Three patients developed a new deep vein thrombosis (10%), without pulmonary embolism. Conclusions: In this retrospective analysis of patients, suprarenal placement of IVC filters was not associated to secondary renal failure, and showed good short and long term results.
author	Mariné M,Leopoldo Mertens M,Renato Krämer Sch,Albrecht Valdés E,Francisco Bergoeing R,Michel Arriagada J,Ivette Vergara G,Jeanette Carvajal N,Claudia
author_facet	Mariné M,Leopoldo Mertens M,Renato Krämer Sch,Albrecht Valdés E,Francisco Bergoeing R,Michel Arriagada J,Ivette Vergara G,Jeanette Carvajal N,Claudia
author_sort	Mariné M,Leopoldo
title	Filtros de vena cava inferior en posición suprarrenal
title_short	Filtros de vena cava inferior en posición suprarrenal
title_full	Filtros de vena cava inferior en posición suprarrenal
title_fullStr	Filtros de vena cava inferior en posición suprarrenal
title_full_unstemmed	Filtros de vena cava inferior en posición suprarrenal
title_sort	filtros de vena cava inferior en posición suprarrenal
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001200005
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Filtros de vena cava inferior en posición suprarrenal

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