This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (30)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Lazar J. Greenfield, MD; Kyung J. Cho, MD; S. Osher Pais, MD; Michael Van Aman, MD

Arch Surg. 1989;124(6):657-659.

Abstract
• Preliminary clinical experience in 40 patients from three institutions is reported for a new titanium model of the Greenfield vena caval filter. The titanium filter is slightly larger than the standard stainless steel filter and can be loaded into a 12 F diameter carrier system as opposed to the 24 F stainless steel filter. In patients ranging from 17 to 94 years of age, percutaneous insertions were made from the right femoral vein in 24 patients, the left femoral vein in 11 patients, and the right internal jugular in 2 patients. Operative access was obtained in 1 patient each from the right femoral, right jugular, and a lumbar vein at laparotomy. Insertion was completed in all cases but 1 and only 1 patient (3%) showed postoperative femoral vein thrombosis. Distal filter migration was seen in 3 cases (7.5%) without sequelae, and there was no proximal migration. The titanium Greenfield vena caval filter provides improved ease of insertion, and the sheath technique should prevent misplacement. Distal migration should be preventable by techniques to promote hook engagement at the time of insertion.

(Arch Surg. 1989;124:657-659)

Author Affiliations
From the Departments of Surgery (Dr Greenfield) and Radiology (Dr Cho), the University of Michigan Medical Center, Ann Arbor; the University of Maryland, Baltimore (Dr Pais); and Ohio State University, Columbus (Dr Van Aman).

Footnotes
Accepted for publication November 17, 1988.

Reprint requests to the University of Michigan, Department of Surgery, 2101 Taubman Center/0346, Ann Arbor, MI 48109 (Dr Greenfield).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Vena Cava Filters: Why, When, What, How?
Chiou et al.
PERSPECT VASC SURG ENDOVASC THER 2005;17:329-339.
ABSTRACT  

Clinical Trials That Have Influenced the Treatment of Venous Thromboembolism: A Historical Perspective
Hirsh and Bates
ANN INTERN MED 2001;134:409-417.
ABSTRACT | FULL TEXT  

Inferior Vena Caval Filters: Review of a 26-year Single-Center Clinical Experience
Athanasoulis et al.
Radiology 2000;216:54-66.
ABSTRACT | FULL TEXT  

Vena caval filters: a comprehensive review
Streiff
Blood 2000;95:3669-3677.
ABSTRACT | FULL TEXT  

Incomplete Caval Protection Following Suprarenal Caval Filter Placement: A Case Report
Lemmon et al.
ANGIOLOGY 2000;51:155-159.
ABSTRACT  

Update on the Titanium Greenfield Filter and Recommendations for Insertion
Greenfield and Proctor
PERSPECT VASC SURG ENDOVASC THER 1998;9:41-46.
ABSTRACT  

Evolution of Venous Interruption for Pulmonary Thromboembolism
Greenfield
Arch Surg 1992;127:622-626.
ABSTRACT