Results of a multicenter study of the retrievable Tulip vena cava filter: Early clinical experience

Neuerburg, Joerg M; Guenther, Rolf W; Vorwerk, Dierk; Dondelinger, Robert F; Jaeger, Horst; Lackner, Klaus J; Schild, Hans H; Plant, Graham R; Joffre, Francis G; Schneider, Pierre A; Janssen, Johan H. A.

doi:10.1007/S002709900102

Title: Results of a multicenter study of the retrievable Tulip vena cava filter: Early clinical experience

Full Record
Other Related Research

Abstract

Purpose. To evaluate clinically a new, retrievable vena caval filter in a multicenter study. Methods. The Tulip filter is a stainless steel half-basket that is suitable for antegrade or retrograde insertion via an 8.5 Fr introducer sheath. The filter can be retrieved via the jugular approach using an 11 Fr coaxial retrieval system. Forty-eight filters were implanted via the femoral approach and 38 via the jugular approach in 83 patients. Follow-up examinations (plain films, colorcoded duplex sonography) were performed up to 3 years after filter insertion (mean 136 days) in 75 patients. Twenty-seven patients were screened by colorcoded duplex sonography for insertion site thrombosis. Results. An appropriate filter position was achieved in all cases. Insertion problems occurred in 3 cases; these were not due to the filter design but to an imperfect prototype insertion mechanism that has now been modified (n=2) or a manipulation error (n=1). In 2 of these cases the filters were replaced percutaneously; 1 patient required venotomy for filter removal. No further complications due to filter insertion occurred. Two filters were used as temporary devices and were successfully removed after 6 and 11 days, respectively. There was 1 fatal recurrent pulmonary embolism (PE) and 2 non-fatal PE,more »« less

Authors:

Neuerburg, Joerg M; Guenther, Rolf W; Vorwerk, Dierk ^[1]; Dondelinger, Robert F ^[2]; Jaeger, Horst ^[3]; Lackner, Klaus J ^[4]; Schild, Hans H ^[5]; Plant, Graham R ^[6]; Joffre, Francis G ^[7]; Schneider, Pierre A ^[8]; Janssen, Johan H. A. ^[9]

University of Technology Aachen, Department of Diagnostic Radiology (Germany)
University Hospital Liege, Department of Radiology (Belgium)
Staedt. Kliniken Dortmund, Department of Radiology (Germany)
University Hospital Cologne, Department of Diagnostic Radiology (Germany)
University Hospital Bonn, Department of Radiology (Germany)
Basingstoke District Hospital, Department of Diagnostic Radiology (United Kingdom)
Centre Hospitalier Universitaire de Rangueil, Department of Diagnostic Radiology (France)
Hopital Cantonal Universitaire, Department of Radiology (Switzerland)
University of Limburg, Department of Cardiology, Academisch Ziekenhuis Maastricht (Netherlands)

Publication Date:: Wed Jan 15 00:00:00 EST 1997

OSTI Identifier:: 21080248

Resource Type:: Journal Article

Journal Name:: Cardiovascular and Interventional Radiology

Additional Journal Information:: Journal Volume: 20; Journal Issue: 1; Other Information: DOI: 10.1007/s002709900102; Copyright (c) 1997 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; DESIGN; ERRORS; PATIENTS; STAINLESS STEELS; THROMBOSIS; VASCULAR DISEASES

Citation Formats


                    Neuerburg, Joerg M, Guenther, Rolf W, Vorwerk, Dierk, Dondelinger, Robert F, Jaeger, Horst, Lackner, Klaus J, Schild, Hans H, Plant, Graham R, Joffre, Francis G, Schneider, Pierre A, and Janssen, Johan H. A. Results of a multicenter study of the retrievable Tulip vena cava filter: Early clinical experience.  United States: N. p., 1997. 
        Web.  doi:10.1007/S002709900102.

Copy to clipboard


                    Neuerburg, Joerg M, Guenther, Rolf W, Vorwerk, Dierk, Dondelinger, Robert F, Jaeger, Horst, Lackner, Klaus J, Schild, Hans H, Plant, Graham R, Joffre, Francis G, Schneider, Pierre A, & Janssen, Johan H. A. Results of a multicenter study of the retrievable Tulip vena cava filter: Early clinical experience.  United States.  https://doi.org/10.1007/S002709900102

Copy to clipboard


                    Neuerburg, Joerg M, Guenther, Rolf W, Vorwerk, Dierk, Dondelinger, Robert F, Jaeger, Horst, Lackner, Klaus J, Schild, Hans H, Plant, Graham R, Joffre, Francis G, Schneider, Pierre A, and Janssen, Johan H. A. 1997.  
        "Results of a multicenter study of the retrievable Tulip vena cava filter: Early clinical experience".  United States.  https://doi.org/10.1007/S002709900102.

Copy to clipboard


                    
@article{osti_21080248,

  title        = {Results of a multicenter study of the retrievable Tulip vena cava filter: Early clinical experience},

  author       = {Neuerburg, Joerg M and Guenther, Rolf W and Vorwerk, Dierk and Dondelinger, Robert F and Jaeger, Horst and Lackner, Klaus J and Schild, Hans H and Plant, Graham R and Joffre, Francis G and Schneider, Pierre A and Janssen, Johan H. A.},

  abstractNote = {Purpose. To evaluate clinically a new, retrievable vena caval filter in a multicenter study. Methods. The Tulip filter is a stainless steel half-basket that is suitable for antegrade or retrograde insertion via an 8.5 Fr introducer sheath. The filter can be retrieved via the jugular approach using an 11 Fr coaxial retrieval system. Forty-eight filters were implanted via the femoral approach and 38 via the jugular approach in 83 patients. Follow-up examinations (plain films, colorcoded duplex sonography) were performed up to 3 years after filter insertion (mean 136 days) in 75 patients. Twenty-seven patients were screened by colorcoded duplex sonography for insertion site thrombosis. Results. An appropriate filter position was achieved in all cases. Insertion problems occurred in 3 cases; these were not due to the filter design but to an imperfect prototype insertion mechanism that has now been modified (n=2) or a manipulation error (n=1). In 2 of these cases the filters were replaced percutaneously; 1 patient required venotomy for filter removal. No further complications due to filter insertion occurred. Two filters were used as temporary devices and were successfully removed after 6 and 11 days, respectively. There was 1 fatal recurrent pulmonary embolism (PE) and 2 non-fatal PE, 5 complete and 3 partial caval occlusions, and 3 caudal migrations of the filter. Insertion site venous thrombosis was not seen in the 27 patients monitored for this complication. Conclusion. Precise placement of the Tulip filter is feasible by either access route and the device appears mechanically stable. Further observations are needed to confirm that safe filter removal is practical up to 10 days after its insertion.},

  doi          = {10.1007/S002709900102},

  url          = {https://www.osti.gov/biblio/21080248},
  journal      = {Cardiovascular and Interventional Radiology},

  issn         = {0174-1551},

  number       = 1,

  volume       = 20,

  place        = {United States},

  year         = {Wed Jan 15 00:00:00 EST 1997},

  month        = {Wed Jan 15 00:00:00 EST 1997}

}

Copy to clipboard

Journal Article:

https://doi.org/10.1007/S002709900102

Other availability

Find in Google Scholar

Search WorldCat to find libraries that may hold this journal

Save / Share:

Export Metadata

Save to My Library

Similar records in OSTI.GOV collections:

'Recovery{sup TM}' Vena Cava Filter: Experience in 96 Patients

Journal Article Athanasoulis, Christos; Fan, C; Curvelo, Marcio; ... - Cardiovascular and Interventional Radiology

The purpose of the study was to assess the clinical safety and efficacy of the 'Recovery{sup TM}' (Bard) inferior vena cava (IVC) filter. We retrospectively evaluated the clinical and imaging data of patients who had a 'Recovery{sup TM}' IVC filter placed between January 2003 and December 2004 in our institution. The clinical presentation, indications, and procedure-related complications during placement and retrieval were evaluated. Follow-up computed tomography (CT) examinations of the abdomen and chest were evaluated for filter-related complications and pulmonary embolism (PE), respectively. 'Recovery' filters were placed in 96 patients (72 males and 24 females; age range: 16-87 years; mean:more »« less
https://doi.org/10.1007/S00270-005-0271-1
Indications, Management, and Complications of Temporary Inferior Vena Cava Filters

Journal Article Linsenmaier, Ulrich; Rieger, Johannes; Schenk, Franz; ... - Cardiovascular and Interventional Radiology

Purpose: We describe the results of a preliminary prospective study using different recently developed temporary and retrievable inferior vena cava (IVC) filters. Methods: Fifty temporary IVC filters (Guenther, Guenther Tulip, Antheor) were inserted in 47 patients when the required period of protection against pulmonary embolism (PE) was estimated to be less than 2 weeks. The indications were documented deep vein thrombosis (DVT) and temporary contraindications for anticoagulation, a high risk for PE, and PE despite DVT prophylaxis. Results: Filters were removed 1-12 days after placement and nine (18%) had captured thrombi. Complications were one PE during and after removal ofmore »« less
https://doi.org/10.1007/S002709900305
Evaluation of Retrievability of the Gunther Tulip Vena Cava Filter

Journal Article Yamagami, Takuji; Kato, Takeharu; Hirota, Tatsuya; ... - Cardiovascular and Interventional Radiology

Purpose. To evaluate the feasibility and safety of withdrawal of a Gunther tulip retrievable vena cava filter (GTF). Methods. Between June 2001 and December 2005, at our institution 86 GTFs were implanted for temporary caval filtration in 59 patients (37 women, 22 men; mean age 59.3 years, range 18-87 years). For GTFs retrieved thereafter, we retrospectively reviewed the following parameters: rate of success in retrieval, degree of trapped thrombus in the filter, and complications during retrieval. Results. Worsening of or new development of pulmonary embolism after filter implantation did not occur in any patient. Of the 86 GTFs implanted, retrievalmore »« less
https://doi.org/10.1007/S00270-006-0166-9
Gunther Tulip Inferior Vena Cava Filter Placement During Treatment for Deep Venous Thrombosis of the Lower Extremity

Journal Article Yamagami, Takuji; Kato, Takeharu; Iida, Shigeharu; ... - Cardiovascular and Interventional Radiology

Purpose. To evaluate the efficacy and safety of Gunther tulip retrievable vena cava filter (GTF) implantation to prevent pulmonary embolism during intravenously administered thrombolytic and anticoagulation therapy and interventional radiological therapy for occlusive or nonocclusive deep venous thrombosis (DVT) of the lower extremity. Methods. We evaluated placement of 55 GTFs in 42 patients with lower extremity DVT who had undergone various treatments including those utilizing techniques of interventional radiology. Results. Worsening of pulmonary embolism in patients with existing pulmonary embolism or in those without pulmonary embolism at the time of GTF insertion was avoided in all patients. All attempts atmore »« less
https://doi.org/10.1007/S00270-004-0108-3
Safety and Efficacy of the Gunther Tulip Retrievable Vena Cava Filter: Midterm Outcomes

Journal Article Mueller, Rebecca; Luciano, Marcus; Lee, Nicole; ... - Cardiovascular and Interventional Radiology

PurposeTo evaluate of the medium-term integrity, efficacy, and complication rate associated with the Gunther Tulip vena cava filter.MethodsA retrospective study was performed of 369 consecutive patients who had infrarenal Gunther Tulip inferior vena cava filters placed over a 5-year period. The mean patient age was 61.8 years, and 59 % were men. Venous thromboembolic disease and a contraindication to or complication of anticoagulation were the indications for filter placement in 86 % of patients; 14 % were placed for prophylaxis in patients with a mean of 2.3 risk factors. Follow-up was obtained by review of medical and radiologic records.ResultsMean clinicalmore »« less
https://doi.org/10.1007/S00270-012-0517-7

Similar Records