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Gunn AJ, Iqbal SI, Kalva SP, Walker TG, Ganguli S, Salazar GM, Oklu R, Wicky S. Intravascular Ultrasound-Guided Inferior Vena Cava Filter Placement Using a Single-Puncture Technique in 99 Patients. Vasc Endovascular Surg 2013; 47:97-101. [DOI: 10.1177/1538574412473186] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Andrew J. Gunn
- Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Shams I. Iqbal
- Department of Radiology, Lahey Clinic, Burlington, MA, USA
| | - Sanjeeva P. Kalva
- Division of Vascular Imaging and Intervention, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - T. Gregory Walker
- Division of Vascular Imaging and Intervention, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Suvranu Ganguli
- Division of Vascular Imaging and Intervention, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Gloria M. Salazar
- Division of Vascular Imaging and Intervention, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Rahmi Oklu
- Division of Vascular Imaging and Intervention, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Stephan Wicky
- Division of Vascular Imaging and Intervention, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
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Gamblin TC, Ashley DW, Burch S, Solis M. A Prospective Evaluation of a Bedside Technique for Placement of Inferior Vena Cava Filters: Accuracy and Limitations of Intravascular Ultrasound. Am Surg 2003. [DOI: 10.1177/000313480306900505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Our objective was to evaluate the safety and accuracy of a bedside technique for placing vena cava filters with intravascular ultrasonography. We conducted a prospective case series of 36 patients requiring prophylactic vena cava filter placement. Intravascular ultrasound (IVUS) was used to assess the best location for inferior vena cava filter placement. Location of best filter placement was compared with a bedside technique using a fluoroscopic examination. Thirty-six patients underwent an IVUS examination. The 21 men and 15 women had a mean age of 51 years. Our bedside placement technique was successfully performed in 34 patients. Two patients did not undergo a bedside technique because of inadequate imaging. The difference between best filter placement and bedside technique was 1.22 ± 1.24 cm. In three patients our bedside technique differed from best filter placement by more than 3 cm. Excluding these three patients the difference between best filter placement and bedside technique was 0.92 ± 0.79 cm. This bedside IVUS technique for placement of inferior vena cava filters is established as safe and accurate; however, knowledge of the limitations involving the technique is important.
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Affiliation(s)
- T. Clark Gamblin
- From the Department of Surgery, Mercer University School of Medicine, Medical Center of Central Georgia, Macon, Georgia
| | - Dennis W. Ashley
- From the Department of Surgery, Mercer University School of Medicine, Medical Center of Central Georgia, Macon, Georgia
| | - Shelia Burch
- From the Department of Surgery, Mercer University School of Medicine, Medical Center of Central Georgia, Macon, Georgia
| | - Maurice Solis
- From the Department of Surgery, Mercer University School of Medicine, Medical Center of Central Georgia, Macon, Georgia
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