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Cardiovascular system

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Simon Nitinol IVC filter


  • introduced 1990; Nitinol Medical Technologies, Woburn, MA. BARD
  • thermal memory alloy:titanium and nickel;
    • straightened form at cool temperatures (4-10C)
    • reforms into predetermined filter shape at body temperatures

    EFFICACY

    • recurrent PE: 0 - 4.8%
    • IVC thrombosis: 7 - 11% (by clinical symptoms)
    • access site thrombosis: 2 - 10%

    ADVANTAGES

    • narrow introducer sheath (9 Fr)
    • largest choice of access: brachial or left CFV approach without difficulty
    • only mild MRI artifacts

    DISADVANTAGES

    • IVC thrombosis: symptomatic occlusion rates higher than reported wtih Greenfield or bird's nest filters
    • caval penetration: 1 - 33%
    • caudal drop: exact filter location difficult to predict


    Stephen P. Johnson, MD  -  26 May 1997
    Last updated:  1 October 2013


     

    Related CHORUS documents:
    Vena-Tech IVC filter
    inferior vena cava (IVC) filters
    bird's nest IVC filter
    titanium Greenfield IVC filter
    inferior vena cava (IVC) filter: indications
    angiomyolipoma

     

    Copyright © 2013, Charles E. Kahn, Jr.