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Retrievable inferior vena cava filters may be safely applied in gastric bypass surgery.
- Source :
-
Surgical Endoscopy & Other Interventional Techniques . Dec2007, Vol. 21 Issue 12, p2277-2279. 3p. 2 Charts. - Publication Year :
- 2007
-
Abstract
- <bold>Introduction: </bold>Pulmonary embolus (PE) is a potentially devastating and fatal postoperative complication in morbidly obese patients. This study was undertaken to review the safety and efficacy of retrievable prophylactic inferior vena cava (IVC) filters in high-risk morbidly obese patients undergoing gastric bypass.<bold>Methods: </bold>Patients who underwent gastric bypass surgery and preoperative insertion of retrievable IVC filters had their records reviewed. Indications for IVC filter insertion were: history of deep venous thrombosis (DVT) or PE, long-standing sleep apnea, venous stasis disease, and/or weight > 400 pounds.<bold>Results: </bold>24 patients underwent IVC filter placement before gastric bypass surgery. There were 10 women and 14 men with an average age of 50 +/- 6.3 years (range 39 to 59) and average body mass index (BMI) of 57 +/- 7.5 kg/m(2) (range 49 to 74). BMI greater then 50 kg/m(2) was present in 21 of 24 patients (88%). All patients had successful IVC filter placement. IVC filter retrieval postoperatively was performed in 20 of 24 patients (83%) with three left for clinical reasons and one (4%) left due to technical inability to retrieve. There was one complication directly attributable to IVC filter retrieval. There were no deaths. Five patients (21%) developed DVT or PE postoperatively. Follow-up was 16 +/- 7.6 months (range 8 to 33).<bold>Conclusions: </bold>Prophylactic IVC filter placement and retrieval can be safely undertaken in high-risk gastric bypass patients. We recommend preoperative IVC filter placement in selected patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- *BARIATRIC surgery
*MORBID obesity
*VENA cava inferior
*VENAE cavae
*GASTRIC bypass
*SLEEP apnea syndromes
*SLEEP disorders
*FILTERS & filtration
*LONGITUDINAL method
*PREOPERATIVE care
*PULMONARY embolism
*VENOUS thrombosis
*PULMONARY embolism prevention
*MEDICAL device removal
*EQUIPMENT & supplies
Subjects
Details
- Language :
- English
- ISSN :
- 18666817
- Volume :
- 21
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- Surgical Endoscopy & Other Interventional Techniques
- Publication Type :
- Academic Journal
- Accession number :
- 27468580
- Full Text :
- https://doi.org/10.1007/s00464-007-9370-1