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- W2148077666 abstract "To describe the experience of vena cava filter placement at a single large academic medical center from 2000 to 2008. The institutional procedural database and HI-IQ software system (ConexSys; Lincoln, RI) were used to identify all vena cava filters placed from January 2000 to August 2008. Pertinent demographic and clinical data was extracted from our electronic medical record and angiographic images and reports were reviewed. 2,368 filters were placed at Mayo Clinic Rochester over the seven year and nine month study period including 285 in 2006 and 336 in 2007. 45% of patients were female; mean age was 60. 47% were referred from medical specialties, 26% from surgical specialties, 16% from the trauma service, and the remaining 11% from orthopedics. 97% were infrarenal with 1% SVC (n=30) and the remaining 2% in the suprarenal IVC. Indication was contraindication to anticoagulation in 51%; complication of anticoagulation in 21%, prophylactic placement in 27%. 71% were placed via the right common femoral vein, 16% via the right internal jugular vein. 509 filters were retrieved; 9 retrieval failures occurred. 11 long-term complications were encountered including occlusive thrombus and arterial dissection or pseudoaneurysm. Vena cava filter placement is a safe means of pulmonary embolism prevention when used in an appropriate patient population. Our study population represents the largest reported single institution experience of vena cava filters. Our inclusion timeline was specifically chosen to span the modern era, including the introduction of the retrievable filter. Current lines of investigation include longitudinal trends in filter placement indications, referral patterns, and outcomes based on indication and subset population. These data show that medical specialties are the primary referral source at our institution; however, retrievable filters are increasingly requested by surgical specialties and could be a source for further practice development. Infrarenal filter placement is possible in the vast majority of patients." @default.
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- W2148077666 date "2009-02-01" @default.
- W2148077666 modified "2023-10-16" @default.
- W2148077666 title "Abstract No. 51: Filter Placement at Mayo Clinic from 2000-2008" @default.
- W2148077666 doi "https://doi.org/10.1016/j.jvir.2008.12.374" @default.
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