지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.89 No.1
- 발행연도
- 2015.6
- 수록면
- 30 - 36 (7page)
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초록· 키워드
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Purpose: To determine the efficacy of a retrievable inferior vena cava filter (IVCF) for patients with deep vein thrombosis (DVT) and transient contraindication for anticoagulant therapy, and to analyze the risk factors for filter thrombus in these patients.
Methods: We retrospectively reviewed the records of 70 patients who received a retrievable IVCF from January 2007 to June 2014 because of documented DVT and transient contraindication for anticoagulant therapy. The protocol for followup care generally consisted of anticoagulant therapy after high-risk periods, follow-up CT around 2 weeks after IVCF placement, and retrieval if possible.
Results: The 70 patients had a mean age of 61.8 years (range, 17?88 years), and 30 were male (43%). The indications for IVCF were recent trauma including surgery in 48 patients, recent hemorrhage in 14, and planned major surgery with DVT in 8 patients. Follow-up CT of 61 patients (87%) was performed. Aggravation or new development of pulmonary embolism (PE) was not found in any patient. Filter thrombus was detected in 23% of patients with follow-up CT (14/61). Filter thrombus was not detected in patients with isolated calf vein thrombosis (ICVT) (P = 0.079). The risk factor for filter thrombus was DVT progression on follow-up CT (P = 0.007) on multivariate analysis.
Conclusion: For patients with DVT and transient contraindication for anticoagulant therapy, a retrievable IVCF could prevent the aggravation or new development of PE. DVT progression on follow-up CT was associated with filter thrombus and ICVT was not related to filter thrombus in the present study.
Methods: We retrospectively reviewed the records of 70 patients who received a retrievable IVCF from January 2007 to June 2014 because of documented DVT and transient contraindication for anticoagulant therapy. The protocol for followup care generally consisted of anticoagulant therapy after high-risk periods, follow-up CT around 2 weeks after IVCF placement, and retrieval if possible.
Results: The 70 patients had a mean age of 61.8 years (range, 17?88 years), and 30 were male (43%). The indications for IVCF were recent trauma including surgery in 48 patients, recent hemorrhage in 14, and planned major surgery with DVT in 8 patients. Follow-up CT of 61 patients (87%) was performed. Aggravation or new development of pulmonary embolism (PE) was not found in any patient. Filter thrombus was detected in 23% of patients with follow-up CT (14/61). Filter thrombus was not detected in patients with isolated calf vein thrombosis (ICVT) (P = 0.079). The risk factor for filter thrombus was DVT progression on follow-up CT (P = 0.007) on multivariate analysis.
Conclusion: For patients with DVT and transient contraindication for anticoagulant therapy, a retrievable IVCF could prevent the aggravation or new development of PE. DVT progression on follow-up CT was associated with filter thrombus and ICVT was not related to filter thrombus in the present study.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (24)
참고문헌 신청
[학술지(정기간행물)] - Anderson FA Jr. / 1991 / A population-based perspective of the hospital incidence and casefatality rates of deep vein thrombosis and pulmonary embolism / Arch Intern Med 151 : 933 ~ 938
[학술지(정기간행물)] - Mobin-Uddin K. / 1969 / Caval interruption for prevention of pulmonary embolism. Long-term results of a new method / Arch Surg 99 : 711 ~ 715
[학술지(정기간행물)] - PREPIC Study Group / 2005 / Eight-year followup of patients with permanent vena cava filters in the prevention of pulmonary embolism : the PREPIC(Prevention du Risque d'Embolie Pulmonaire par Interruption Cave)randomized study / Circulation 112 : 416 ~ 422
[학술지(정기간행물)] - Malgor RD. / 2012 / A systematic review of symptomatic duodenal perforation by inferior vena cava filters / J Vasc Surg 55 : 856-61.e3 ~
[학술지(정기간행물)] - Sella DM. / 2013 / Complications of inferior vena cava filters / Semin Vasc Surg 26 : 23 ~ 28
[학술지(정기간행물)] - Mobin-Uddin K. / 1969 / Caval interruption for prevention of pulmonary embolism. Long-term results of a new method / Arch Surg 99 : 711 ~ 715
[학술지(정기간행물)] - PREPIC Study Group / 2005 / Eight-year followup of patients with permanent vena cava filters in the prevention of pulmonary embolism : the PREPIC(Prevention du Risque d'Embolie Pulmonaire par Interruption Cave)randomized study / Circulation 112 : 416 ~ 422
[학술지(정기간행물)] - Malgor RD. / 2012 / A systematic review of symptomatic duodenal perforation by inferior vena cava filters / J Vasc Surg 55 : 856-61.e3 ~
[학술지(정기간행물)] - Sella DM. / 2013 / Complications of inferior vena cava filters / Semin Vasc Surg 26 : 23 ~ 28
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