当前位置： SCI文献检索 > Vascular and Endovascular Surgery期刊下所有文献 > TrapEase inferior vena cava filter placement: use of the subclavian vein.

TrapEase inferior vena cava filter placement: use of the subclavian vein.

Abstract：

:The purpose of this paper was to evaluate the safety and technical success of TrapEase inferior vena cava filter placement via the subclavian vein. As of yet, no reports in the literature have specifically investigated the use of the subclavian vein as a route for deploying TrapEase vena cava filters. Retrospective chart review was conducted of 135 patients with attempted TrapEase inferior vena cava filter placement over a 2-year period. In a majority of cases, the choice of subclavian vein approach was based primarily on surgeon preference. Other circumstances for subclavian vein deployment included cervical immobilization secondary to trauma, desire for concomitant placement of a subclavian long-term central venous access catheter, and patient body habitus limiting exposure to the internal jugular vein. One hundred and thirty-five filters were placed over this 2-year period. The internal jugular vein approach was used in 56 patients, the femoral vein approach in 39 patients, and the subclavian vein approach in 40 patients. Thirty-nine of the 40 TrapEase filter placements using the subclavian vein were successful. Twenty-six were deployed through the right subclavian vein and 14 through the left subclavian vein. The single failed subclavian deployment was due to the inability to pass the guidewire adequately into the inferior vena cava after successful cannulation of the right subclavian vein. The average deployment time for subclavian vein placement was 26 minutes when TrapEase filter placement was the only procedure performed. No insertional complications were encountered, specifically no pneumothoraces confirmed by chest radiography or fluoroscopy. The subclavian vein provides an alternative site of access for the TrapEase inferior vena cava filter. This route is comparable to other alternative methods evaluated both in average deployment time and complication occurrence. Furthermore, the subclavian vein route is valuable in patients with limited central access and where combined long-term central venous catheter placement using the subclavian vein is desirable.

journal_name

Vasc Endovascular Surg

journal_title

Vascular and endovascular surgery

authors

Stone PA,Aburahma AF,Hass SM,Hofeldt MJ,Zimmerman WB,Deel JT,Deluca JA

doi

10.1177/153857440403800603

keywords:

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

505-9

issue

eissn

1538-5744

issn

1938-9116

journal_volume

pub_type

杂志文章

在线工具

TrapEase inferior vena cava filter placement: use of the subclavian vein.