The use of inferior vena cava filters in pediatric patients for pulmonary embolus prophylaxis

Richard A. Reed, George P. Teitelbaum, Philip Stanley, Murray J. Mazer, Ina L D Tonkin, Nancy K. Rollins

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Purpose: To report our experience with inferior vena cava (IVC) filters in pediatric patients. Methods: Over a 19-month period, eight low-profile percutaneously introducible IVC filters were placed in four male and four female patients aged 6-16 years (mean 11 years). Indications were contraindication to heparin in six patients, anticoagulation failure in one, and idiopathic infrarenal IVC thrombosis in one. Six of the eight devices placed were titanium Greenfield filters. One LGM and one Bird's Nest filter were also placed. Two of the filters were introduced via the right internal jugular vein by cutdown, and the remainder were placed percutaneously via the right internal jugular vein or the right common femoral vein. Patients received follow-up abdominal radiographs from 2 to 13 months after IVC filter placement. Results: All filters were inserted successfully without complication. Three of the patients died during the follow-up period: two due to underlying brain tumors at 2 and 12 months and a third at 6 weeks due to progressive idiopathic renal vein and IVC thrombosis. The remaining five patients were all alive and well at follow-up without evidence of IVC thrombosis, pulmonary emboli, or filter migration. Conclusion: IVC filter placement using available devices for percutaneous delivery is technically feasible, safe, and effective in children.

Original languageEnglish (US)
Pages (from-to)401-405
Number of pages5
JournalCardioVascular and Interventional Radiology
Volume19
Issue number6
DOIs
StatePublished - Nov 1996

Fingerprint

Vena Cava Filters
Embolism
Pediatrics
Lung
Inferior Vena Cava
Thrombosis
Jugular Veins
Venous Cutdown
Equipment and Supplies
Renal Veins
Femoral Vein
Titanium
Brain Neoplasms
Birds
Heparin

Keywords

  • Children
  • IVC filter
  • IVC thrombosis
  • Percutaneous

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

The use of inferior vena cava filters in pediatric patients for pulmonary embolus prophylaxis. / Reed, Richard A.; Teitelbaum, George P.; Stanley, Philip; Mazer, Murray J.; Tonkin, Ina L D; Rollins, Nancy K.

In: CardioVascular and Interventional Radiology, Vol. 19, No. 6, 11.1996, p. 401-405.

Research output: Contribution to journalArticle

Reed, Richard A. ; Teitelbaum, George P. ; Stanley, Philip ; Mazer, Murray J. ; Tonkin, Ina L D ; Rollins, Nancy K. / The use of inferior vena cava filters in pediatric patients for pulmonary embolus prophylaxis. In: CardioVascular and Interventional Radiology. 1996 ; Vol. 19, No. 6. pp. 401-405.
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abstract = "Purpose: To report our experience with inferior vena cava (IVC) filters in pediatric patients. Methods: Over a 19-month period, eight low-profile percutaneously introducible IVC filters were placed in four male and four female patients aged 6-16 years (mean 11 years). Indications were contraindication to heparin in six patients, anticoagulation failure in one, and idiopathic infrarenal IVC thrombosis in one. Six of the eight devices placed were titanium Greenfield filters. One LGM and one Bird's Nest filter were also placed. Two of the filters were introduced via the right internal jugular vein by cutdown, and the remainder were placed percutaneously via the right internal jugular vein or the right common femoral vein. Patients received follow-up abdominal radiographs from 2 to 13 months after IVC filter placement. Results: All filters were inserted successfully without complication. Three of the patients died during the follow-up period: two due to underlying brain tumors at 2 and 12 months and a third at 6 weeks due to progressive idiopathic renal vein and IVC thrombosis. The remaining five patients were all alive and well at follow-up without evidence of IVC thrombosis, pulmonary emboli, or filter migration. Conclusion: IVC filter placement using available devices for percutaneous delivery is technically feasible, safe, and effective in children.",
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