A retrospective study of the Coney Island Hospital experience with Greenfield filters over a five-year period was undertaken. During this period, a total of 78 intracaval filters were placed in 76 patients. The patients' charts were reviewed for (1) indication for Greenfield filter placement, (2) complications of the proce dure, (3) associated medical problems, and (4) follow-up information.
The data revealed one statistically significant subpopulation within the group that had particularly poor survival statistics after intracaval filter insertion. These were patients who had a pulmonary embolism and also had chronic obstructive pulmonary disease (COPD). Considering the low morbidity associ ated with this procedure, it is the author's feeling that prophylactic intracaval filters in patients with deep vein thrombosis and COPD may be warranted.
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References
1.
Greenfield LJ , McCurdy JR, Brown PP, et al: A new intracavel filter permitting continued flow and resolution of emboli. Surgery73:599-606, 1973.
2.
Cimochowski GE, Evans RH, Zarins CK, et al: Greenfirld filter vs. Mobin-Uddin umbrella: The continuing quest for the ideal method of vena caval interruption . Thorac Cardiovasc Surg79:358-365, 1980.
3.
Wingerd M., Bernhard VM, Maddison F., et al: Comparison of caval filters in the management of venous thromboembolism . Arch Surg113:1264-1271, 1978 .
4.
Greenfield LJ , Peyton R., Crute S., et al: Greenfield vena caval filter experience. Late results in 156 patients. Arch Surg116:1451-1456, 1981.
5.
Gomez GA, CutlerBs, Wheeler HB: Transvenous interruption of the inferior vena cava. Surgery93:612-619, 1983.
6.
Norris CS, Greenfield LJ, Hermann JB: Free-floating iliofemoral thrombus: A risk of pulmonary embolism. Arch Surg120:806-808, 1985.
7.
Butson Arc: Intermittent pneumatic calf compression for prevention of deep venous thrombosis in general adbsominal surgery. Am J Surg142:525-527, 1981. 8. Bauer G.: Clinical experience of a surgeon in the use of heparin. Am J Cardiol14:29-35, 1964.
8.
Greenfield LJ : Current indications for and results of Greenfield filter placement. J Vasc Surg1:502-504, 1984.
9.
Fuller WD, McDonough JJ, Altemeier W., et al: Clinical experience with the vena cava filters. Arch Surg106:582-587, 1973.
10.
Greenfield LJ, Zocco J., Wilk J., et al: Clinical experience with the KimRay Greenfield vena cava filter. Am Surg185:692-698, 1977.
11.
Erichetti AM , Holden A.Ansell J., et al: Management of oral anticoagulant therapy: Experience with an anticoagulation clinic. Arch Int. Med144:1966-1968, 1984.
12.
Alpert JS, Dexter J., Vieweg WV, et al: Pulmonary hypertension secondary to minor pulmonary embolism . Chest73:795-804, 1978.
13.
McIntyre KM , and Asahara AA: Hemodynamic and ventricular responses to pulmonary embolism. Prog Cardiovasc Dis17:175-181, 1974.
