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- Title
Intravascular Ultrasound-Guided Inferior Vena Cava Filter Placement in the Military Multitrauma Patients: A Single-Center Experience.
- Authors
Aidinian, Gilbert; Fox, Charles J.; White, Paul W.; Cox, Mitchell W.; Adams, Eric D.; Gillespie, David L.
- 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.
- Subjects
THROMBOEMBOLISM; INTRAVASCULAR ultrasonography; VENA cava inferior; VENOUS thrombosis; MEDICAL imaging systems; PATIENTS
- Publication
Vascular & Endovascular Surgery, 2009, Vol 43, Issue 5, p497
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574409334824