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Fatal outcome in atrial migration of the tempofilter
- Source :
- CardioVascular and Interventional Radiology. 22:227-231
- Publication Year :
- 1999
- Publisher :
- Springer Science and Business Media LLC, 1999.
-
Abstract
- Purpose: To report the risk of fatal atrial migration with the Tempofilter. Methods: Among temporary filters, the high safety profile Tempofilter has been marketed as offering protection for up to 6 weeks. We implanted about 60 Tempofilters to prevent pulmonary embolism. The main indications were temporary thromboembolic risk, recurrent pulmonary embolism, and contraindication to or failure of anticoagulant therapy. Follow-up was performed regularly by plain abdominal film and Doppler ultrasound. Filters were removed about 4 weeks after placement. Results: We encountered three cases (5%) of atrial migration and one case of 5-cm cephalad displacement of the filter. Of the three patients with atrial migration, two died within 3 days of implantation, one from a massive pulmonary embolism and the other with cardiac tamponade. One patient did not show any serious complications. Conclusions: The Tempofilter may actively migrate cranially and become dangerous in the case of migration within the heart.
- Subjects :
- Adult
Male
medicine.medical_specialty
Vena Cava Filters
Fatal outcome
Vascular disease
business.industry
Respiratory disease
medicine.disease
Cardiac Tamponade
Surgery
Pulmonary embolism
Foreign-Body Migration
Cardiac tamponade
medicine
Humans
Female
Radiology, Nuclear Medicine and imaging
Heart Atria
Recurrent pulmonary embolism
Pulmonary Embolism
Cardiology and Cardiovascular Medicine
Complication
business
Contraindication
Subjects
Details
- ISSN :
- 1432086X and 01741551
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- CardioVascular and Interventional Radiology
- Accession number :
- edsair.doi.dedup.....2cb4bd74bc16a8be6bdcc7c2d8a821cb