Are there any risk factors for developing complications with the use of retrievable vena cava filters in orthopaedic surgery?
Background: In high-risk patients, common prophylaxis may be insufficient to prevent thromboembolic events after orthopaedic procedures. In this scenario, a retrievable vena cava filter (VCF) could be considered as an alternative, although it's use remains controversial. Therefore, we asked: (1...
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| Autores principales: | , , , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Inglés |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2018
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/17746 |
| Aporte de: |
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I10-R10article-17746 |
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| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-10 |
| container_title_str |
Revistas de la UNC |
| language |
Inglés |
| format |
Artículo revista |
| topic |
filtro de vena cava removible enfermedad tromboembólica cirugía ortopédica trombosis venosa profunda embolia pulmonar retrievable vena cava filter thromboembolic disease orthopedic surgery deep vein thrombosis pulmonary embolism |
| spellingShingle |
filtro de vena cava removible enfermedad tromboembólica cirugía ortopédica trombosis venosa profunda embolia pulmonar retrievable vena cava filter thromboembolic disease orthopedic surgery deep vein thrombosis pulmonary embolism Slullitel, Pablo A. I. Posadas-Martinez, María Lourdes Díaz Dilernia, Fernando Stagnaro, Joaquín Revah, Mariano Rojas, Liliana Buttaro, Martín A. Slullitel, Gastón A. Are there any risk factors for developing complications with the use of retrievable vena cava filters in orthopaedic surgery? |
| topic_facet |
filtro de vena cava removible enfermedad tromboembólica cirugía ortopédica trombosis venosa profunda embolia pulmonar retrievable vena cava filter thromboembolic disease orthopedic surgery deep vein thrombosis pulmonary embolism |
| author |
Slullitel, Pablo A. I. Posadas-Martinez, María Lourdes Díaz Dilernia, Fernando Stagnaro, Joaquín Revah, Mariano Rojas, Liliana Buttaro, Martín A. Slullitel, Gastón A. |
| author_facet |
Slullitel, Pablo A. I. Posadas-Martinez, María Lourdes Díaz Dilernia, Fernando Stagnaro, Joaquín Revah, Mariano Rojas, Liliana Buttaro, Martín A. Slullitel, Gastón A. |
| author_sort |
Slullitel, Pablo A. I. |
| title |
Are there any risk factors for developing complications with the use of retrievable vena cava filters in orthopaedic surgery? |
| title_short |
Are there any risk factors for developing complications with the use of retrievable vena cava filters in orthopaedic surgery? |
| title_full |
Are there any risk factors for developing complications with the use of retrievable vena cava filters in orthopaedic surgery? |
| title_fullStr |
Are there any risk factors for developing complications with the use of retrievable vena cava filters in orthopaedic surgery? |
| title_full_unstemmed |
Are there any risk factors for developing complications with the use of retrievable vena cava filters in orthopaedic surgery? |
| title_sort |
are there any risk factors for developing complications with the use of retrievable vena cava filters in orthopaedic surgery? |
| description |
Background: In high-risk patients, common prophylaxis may be insufficient to prevent thromboembolic events after orthopaedic procedures. In this scenario, a retrievable vena cava filter (VCF) could be considered as an alternative, although it's use remains controversial. Therefore, we asked: (1) what is the overall mechanical complication rate associated with the use of retrievable VCFs in orthopaedic surgery?, (2) what is the association with thromboembolic disease (TED) recurrence, post-thrombotic syndrome and/or major bleeding according to different surgical characteristics?, (3) What is the overall mortality rate attributed to VCF use?Methods: We retrospectively analyzed a cohort of 68 patients who underwent orthopaedic surgery with a previous diagnosis of TED, in whom a retrievable VCF was placed. Permanent filters were excluded. We studied the filter’s mechanical complications and considered as possible outcomes death and 3 hematologic complications: TED recurrence, post-thrombotic syndrome and major bleeding. To estimate association with risk factors, we subclassified surgeries into 5 groups: 1, arthroplasty/non-arthroplasty; 2, primary/revision; 3, elective/urgent; 4, oncologic/non-oncologic; 5, preoperative/postoperative filter.Results: Mechanical complications were 16% and required a filter revision. Sixty-four percent of the revised VCFs developed a mechanical failure and could not be retrieved. Overall prevalence of TED recurrence, post-thrombotic syndrome and hemorrhage was 33%, 15% and 4.5%, respectively. Spinal surgeries were a risk factor for developing TED recurrences. Only 4% of patients died of a TED recurrence.Conclusions: Orthopaedic procedures had a high risk of mechanical and hematologic complications after using a retrievable VCF. However, mortality was low due to these complications. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2018 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/17746 |
| work_keys_str_mv |
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