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The article analyses the efficacy of rehabilitation measures after implantation of a REPTELA cava-filter in 750 patients in the immediate postimplantation period and in 400 patients in late-term periods of up to 8 years. The average duration of the hospital stage of rehabilitation was 45 days for patients with thromboembolism of the pulmonary artery and 22 days for those without this condition. The application of a complex of rehabilitation measures makes it possible to restore the working capacity of 78.5% of patients with an implanted REPTELA cava-filter.

The condition of the inferior vena cava system was studied in 597 patients after percutaneous implantation of the antiembolic cava-filter on the basis of the clinical findings and results of angiographic and pathoanatomical examination. The patency of the inferior vena cava was found to be maintained in the immediate postimplantation period in most patients. The causes of occlusion of the inferior vena cava in 10% of cases (according to the clinical findings) were embolic occlusion of the cava-filter and ascending thrombosis of the iliocaval segment.

Experience in clinical application of the new antiembolic REPTELA cava-filter is generalized. The immediate (750 patients) and late-term results (400 patients) of implantation of the filter are discussed. Thromboembolism of the pulmonary artery was encountered in the postimplantation period in 1.2% of patients with 0.2% lethality. Technical faults of implantation were the causes of antiembolic inefficacy of the cava-filter.

The article is based on study of the immediate results of REPTELA cava-filter implantation in 750 patients and the late-term results in 400 patients. The incidence of the complications is low. Hematoma at the site of subclavian vein puncture developed in 1.6%, retroperitoneal hematomas in 0.1%, migration of the cava-filter occurred in 0.9% of cases. The main causes of the complications are linked with improper methods of implantation of the cava-filter.

By the method of ultrasound scanning, 56 patients were examined at the early and 115 patients at the late period after the percutaneous implantation of a cava-filter. Ultrasound scanning was performed in the cross and longitudinal section planes. In 28 patients, the embolic occlusion of the cava-filter was revealed, in 19-thrombosis of infrarenal inferior vena cava (IVC). Neither migration of the cava-filter, nor damage to the IVC wall was revealed. Ultrasound scanning permits to define the thickness of the IVC wall at the zone of the implanted filter.