This Article Full Text (PDF) All Versions of this Article: 1538574409334824v1 43/5/497    most recent References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Scopus Google Scholar Articles by Aidinian, G. Articles by Gillespie, D. L. PubMed PubMed Citation Articles by Aidinian, G. Articles by Gillespie, D. L. Social Bookmarking                         What's this?

Intravascular Ultrasound—Guided Inferior Vena Cava Filter Placement in the Military Multitrauma Patients: A Single-Center Experience

Department of Surgery, Peripheral Vascular Surgery Service, Walter Reed Army Medical Center, Washington, D.C., gilbert.aidinian{at}us.army.mil

Charles J. Fox, MD

Department of Surgery, Peripheral Vascular Surgery Service, Walter Reed Army Medical Center, Washington, D.C.

Paul W. White, MD

Department of Surgery, Peripheral Vascular Surgery Service, Eisenhower Army Medical Center, Augusta, Georgia

Mitchell W. Cox, MD

Department of Surgery, Peripheral Vascular Surgery Service, Walter Reed Army Medical Center, Washington, D.C.

Eric D. Adams, MD

Department of Surgery, Peripheral Vascular Surgery Service, Walter Reed Army Medical Center, Washington, D.C.

David L. Gillespie, MD

Department of Vascular Surgery, University of Rochester Medical Center, Rochester, New York

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.

Key Words: inferior vena cava filter • trauma • intravascular ultrasound

This version was published on October 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 5, 497-501 (2009)
DOI: 10.1177/1538574409334824


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