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Limb asymmetry in titanium Greenfield filters: Clinically significant?

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Presentation on theme: "Limb asymmetry in titanium Greenfield filters: Clinically significant?"— Presentation transcript:

1 Limb asymmetry in titanium Greenfield filters: Clinically significant?
Lazar J. Greenfield, MD, Mary C. Proctor, MS, Kyung J. Cho, MD, Thomas W. Wakefield, MD  Journal of Vascular Surgery  Volume 26, Issue 5, Pages (November 1997) DOI: /S (97) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Titanium Greenfield filter with the modified hook introduced in 1989 for percutaneous placement (Boston Scientific Co., Watertown, Mass.). Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Indications for filter placement have changed during the past 3 years, with a greater number being placed for prophylaxis. This indication is used most often in trauma patients. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Schematic presentation of four potential patterns of asymmetry based on the number of legs on each side of the cava. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Cavagram of a patient with a severely distorted filter, probably associated with compression of the cava as a result of a retroperitoneal hematoma. A recurrent PE developed in this patient 1 month later. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Clinical presentation of the 4-2 (A) and 5-1 (B) distributions as noted on follow-up radiographs. These are the most frequently noted patterns of distortion. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 5 Clinical presentation of the 4-2 (A) and 5-1 (B) distributions as noted on follow-up radiographs. These are the most frequently noted patterns of distortion. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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