Prospective implementation of an algorithm for bedside intravascular ultrasound-guided filter placement in critically ill patients

Killingsworth, Christopher; Taylor, Steven M.; Patterson, Mark A.; Weinberg, Jordan A.; McGwin, Gerald; Melton, Sherry M.; Reiff, Donald A.; Kerby, Jeffrey D.; Rue, Loring W.; Jordan, William D.; Passman, Marc A.

doi:10.1016/j.jvs.2009.12.041

Cited by 37 publications

(11 citation statements)

References 46 publications

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“…17 A recent large series from a large tertiary care center over a 1-year period of time reported 109 patients undergoing an IVUS-directed bedside filter placement. 18 In this study, two patients (1.9%) had inadequate visualization with IVUS to allow safe deployment of a filter. Of the remaining 107 who underwent filter placement, 3 had malpositioning requiring repositioning, filter tilt was !15 degrees in 2, and arteriovenous fistula occurred in 1 patient.…”

Section: Inferior Vena Cava Filter Placementmentioning

confidence: 76%

“…This procedure has been primarily directed to patients who are critically ill and/or have multitrauma and cannot be safely transported to an angiography suite for placement under fluoroscopy. [16][17][18] By performing these procedures at the bedside, in a closely monitored environment, critically ill patients can avoid the hazards of transport to an interventional, catheterization, or endovascular suite. Additionally, intravenous contrast can be avoided, which may be hazardous to certain critically ill patients suffering from acute or chronic renal failure.…”

Section: Inferior Vena Cava Filter Placementmentioning

confidence: 99%

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The Role of Intravascular Ultrasound in Venous Thromboembolism

McLafferty

2012

Semin intervent Radiol

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Venous thromboembolism (VTE) remains a serious problem, and treatments surrounding this potentially life-threatening disease continue to evolve. Evidence-based guidelines purport the need for minimally invasive catheter-based procedures as part of the armamentarium to prevent and treat VTE. When the appropriate clinical scenarios arise, intravascular ultrasound (IVUS) becomes a necessary part of those procedures to provide alternative imaging that complements traditional venography. IVUS of the major axial veins provides a 360-degree two-dimensional gray scale ultrasound image of lumen and vessel wall structures. IVUS remains the criterion standard for venous imaging when contemplating catheter-based procedures from the common femoral vein to the inferior vena cava. Not only can precise location and size of these veins be determined by the IVUS probe from key landmarks and venous branches, but other important abnormalities can be visualized. These include external compression, acute and chronic thrombus, fibrosis, mural wall thickening, spurs, and trabeculations. Specific procedures that use IVUS include the treatment of venous obstruction and the placement of vena cava filters at the bedside. IVUS remains a vital part of accurately imaging the major axial veins when contemplating catheter-based procedures to prevent or treat VTE-related disorders.

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Section: Inferior Vena Cava Filter Placementmentioning

confidence: 76%

Section: Inferior Vena Cava Filter Placementmentioning

confidence: 99%

The Role of Intravascular Ultrasound in Venous Thromboembolism

McLafferty

2012

Semin intervent Radiol

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“…These interventions can usually be implemented without an operating room, general anesthesia, or associated life-support systems (17,18), reducing procedural complexity and resource consumption, and largely circumventing the challenges of bleeding and contamination in microgravity. These attributes have already led to the successful use of US-guided IR procedures in space (19).…”

Section: Why Ir? Procedural Carementioning

confidence: 99%