Bedside implantation of a new temporary vena cava inferior filter - Safety and efficacy results of the European ANGEL-Registry.

Abstract:

PURPOSE:Pulmonary embolism (PE) is a frequently occurring complication in critically ill patients. Simultaneous occurrence of PE and life-threatening bleeding, may render medical anticoagulation impossible. For these patients, inferior vena cava filters (IVCF) present a valuable therapeutic alternative. The Angel® catheter is a novel IVCF that provides temporary protection from PE and is implanted at bedside. The primary objective of the European Angel® catheter registry is to evaluate the safety and efficacy of this IVCF. MATERIAL AND METHODS:The European Angel® catheter registry is an observational, multi-centre registry. Patients from four countries and eight sites that have undergone Angel® catheter implantation between March 2013 and February 2017 were enrolled. RESULTS:A total of 114 critically ill patients were included. The main indication for implantation was a high-risk for PE in combination with contraindications for anticoagulation (69.3%). One clinically non-significant PE (0.9%) occurred in a patient with an indwelling Angel® catheter. No cases of catheter associated serious complications were observed. CONCLUSION:Data shows that the Angel® catheter is a safe and effective approach to overcome the acute phase of critically ill patients with a high risk for the development of PE or an established PE, when an anticoagulation therapy is contraindicated.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Baumann S,Becher T,Giannakopoulos K,Jabbour C,Rutsch M,Fastner C,El-Battrawy I,Ansari U,Lossnitzer D,Behnes M,Alonso A,Kirschning T,Michels G,Stern D,Dissmann R,Kueck O,Taccone FS,Waldmann C,Bunker N,Postiglione M,

doi

10.1016/j.jcrc.2017.10.009

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

39-44

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(17)31308-4

journal_volume

44

pub_type

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