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- Title
Intravascular ultrasound--guided inferior vena cava filter placement in the military multitrauma patients: a single-center experience.
- Authors
Aidinian G; Fox CJ; White PW; Cox MW; Adams ED; Gillespie DL
- Abstract
Background: High velocity fragments have resulted in a multitude of complex injuries in the military patients, placing them at increased risk of venous thromboembolism. Methods: A retrospective analysis was performed of all the intravascular ultrasound (IVUS)-guided bedside inferior vena cava (IVC) filters placed between August 2003 and October 2007. Results: Fourteen patients had bedside IVUS-guided retrievable filter placement. Thirteen males and one female and the mean (+SD) injury severity scores (ISS) was 37.2 (+9.9). The most common causes of injury were explosive devices (57%), gunshot wounds (28%), rocket-propelled grenades (7%), and motor vehicle crashes (7%). Indications for filter insertion were deep venous thrombosis in 36% of patients and pulmonary embolus in 28%. Thirty five percent had filters inserted prophylactically. Conclusions: Military trauma population ISS is considerably higher than what is reported in the civilian population. The bedside IVUS-guided IVC filter insertion is particularly useful in this population.
- Publication
Vascular & Endovascular Surgery, 2009, Vol 43, Issue 5, p497
- ISSN
1538-5744
- Publication type
Journal Article
- DOI
10.1177/1538574409334824