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Angiología
Article . 2013 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Cambios en la práctica clínica tras la introducción de los filtros de vena cava retirables

Authors: M. Mellado Joan; A. Clarà Velasco; E. Paredes Mariñas; L. Calsina Juscafresa; E. Mateos Torres;

Cambios en la práctica clínica tras la introducción de los filtros de vena cava retirables

Abstract

Resumen Objetivos Evaluar si la introduccion de filtros de vena cava (FVC) retirables en nuestra institucion ha comportado variaciones en el numero de implantes, indicaciones o complicaciones inmediatas. Material y metodos Pacientes consecutivos (n = 88; edad media 68; varones 46%) con TVP (n = 27, 30,7%), TEP (n = 22, 25%) o ambos (n = 39, 44,3%), en quienes se implanto un FVC por cirujanos vasculares entre 1996-2011. A partir de 2004 todos los FVC fueron potencialmente retirables (Optease/Cordis). Indicaciones: TVP/TEP recurrente/progresivo con anticoagulacion correcta (n = 22, 25%), TVP/TEP con contraindicacion para anticoagulacion (n = 47, 53,4%), o retirada de anticoagulacion tras TVP/TEP por cirugia mayor (n = 19, 21,6%). Resultados Se implantaron 88 FVC: 33 permanentes (20 Venatech-LGM/Braun, 13 Trapesase/Cordis) y 55 retirables (Optease/Cordis). Desde la introduccion de los FVC retirables, han aumentado un 40% los implantes, las indicaciones por retirada de anticoagulacion tras TVP/TEP para cirugia mayor (p = 0,001), y disminuido las indicaciones por TVP/TEP recurrente/progresivo (p Conclusiones La disponibilidad de FVC retirables ha comportado un aumento del numero de implantes, sobre todo en pacientes con TVP/TEP en los que debe suspenderse la anticoagulacion por cirugia mayor y en los que probablemente antes se demoraba esta hasta pasada la fase aguda del TEP/TVP. A pesar de que los FVC retirables son igualmente seguros a corto plazo, un porcentaje relevante de estos con supuesta indicacion temporal no son finalmente retirados, por lo que no deberia liberalizarse su indicacion.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
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