LGM Vena Cava Filter: Objective Evaluation of Early Results

Timothy P. Murphy, Gary S. Dorfman, Joseph W. Yedlicka, Timothy C. McCowan, Robert L. Vogelzang, David W. Hunter, Danna K. Carver, Robert Pinsk, Wilfrido Castaneda-Zuniga, Ernest J. Ferris, Kurt Amplatz

Research output: Contribution to journalArticlepeer-review

55 Scopus citations

Abstract

One hundred one LG-Medical (LGM) vena cava filters were placed in 97 patients at four institutions. Placement was a complete technical success in 90% (91 of 101). In 6% of attempts, LGM filter insertion was complicated by incomplete opening of the filter. Pulmonary embolism after filter placement was not definitely demonstrated in any patient. The probability of inferior vena cava patency was 92% at 6 months after filter insertion. Thrombosis at the insertion site was seen in eight of 35 patients (23 %) evaluated with duplex ultrasound or venography. Thrombus was observed in 37% of filters at follow-up examination, with cephalic extension of thrombus above the filter in 20% of all patients examined. Filter migration (greater than 1 cm) was seen in 12%; significant angulation was observed in only one patient (2%). In vitro experimentation demonstrated that incomplete opening of the LGM filter during placement can be avoided, in part, by brisk retraction of the insertion cannula. The low-profile introducer system of the LGM filter allows increased alternatives in selecting the site for filter insertion. The low-profile system also makes outpatient filter placement a possibility. No significant difference in the prevalence of thrombosis at the insertion site following LGM filter insertion was noted compared with previous results reported for percutaneous transfemoral placement of the Greenfield filter. The nonopaque sheath does not permit careful localization prior to filter deposition. Modification of the LGM filter to include a radiopaque sheath is suggested.

Original languageEnglish (US)
Pages (from-to)107-115
Number of pages9
JournalJournal of Vascular and Interventional Radiology
Volume2
Issue number1
DOIs
StatePublished - Jan 1 1991

Keywords

  • Embolism, pulmonary, 60.72
  • IVC
  • LG-Medical
  • LGM
  • V/Q
  • Venae cavae, filters, 982.1299
  • Venae cavae, thrombosis, 982.442
  • inferior vena cava
  • ventilation/perfusion

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'LGM Vena Cava Filter: Objective Evaluation of Early Results'. Together they form a unique fingerprint.

Cite this