Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

A Vena Cava Filter for the Prevention of Pulmonary Embolism: A Five-Year Clinical Experience

A Vena Cava Filter for the Prevention of Pulmonary Embolism: A Five-Year Clinical Experience Abstract Introduction Mechanistic methods for preventing fatal pulmonary infarction due to thromboembolism have challenged the imagination of surgeons since Trendelenberg first proposed pulmonary embolectomy in 1908.30 Ligation of femoral veins, first proposed by Homans in 193411 has been subjected to extensive trial and study and has been found wanting.4,13,17 Iliofemoral thrombectomy, introduced by Läwen in 1938,16 is currently experiencing a rebirth of interest and may be effective in acute processes.5,10 Permanent ligation of the vena cava, also first suggested by Homans12 in 1944, has most successfully withstood the test of time and has undoubtedly saved many lives.23Although some surgeons15,23 minimize its importance, many patients experience significant postligation ulceration or edema after caval ligation.26 This has provoked other investigators to continue their search for a better method. Streuter and Paine (1951),29 Pualwan et al (1954),24 and Dale (1958)3 presented References 1. Coon, W. W.; MacKenzie, J. W.; and Hodgson, P. E.: A Critical Evaluation of Anticoagulant Therapy in Peripheral Venous Thrombosis and Pulmonary Embolism , Surg Gynec Obstet 106:129, 1958. 2. Coon, W. W., and Coller, F. A.: Some Epidemiologic Considerations of Thromboembolism , Surg Gynec Obstet 109:487, 1959. 3. Dale, W. A.: Ligation of the Inferior Vena Cava for Thromboembolism , Surgery 43:24, 1958. 4. Dale, W. A.: Inferior Vena Caval Ligation for Venous Thromboembolism , Rev Surg 19:1, 1962. 5. DeWeese, J. A.; Jones, T. I.; Lyon, J.; and Dale W. A.: Evaluation of Thrombectomy in the Management of Iliofemoral Venous Thrombosis , Surgery 47:140, 1960. 6. DeWeese, J. A.: Personal communication to the authors. 7. DeWeese, M. S., and Hunter, D. C., Jr.: A Vena Cava Filter for the Prevention of Pulmonary Emboli , Bull Soc Int Chir 17:17, 1958. 8. DeWeese, M. S., and Hunter, D. C., Jr.: Unpublished data. 9. Edwards, E. A.: Clinical Anatomy of Lesser Variations of the Inferior Vena Cava and a Proposal for Classifying the Anomalies of This Vessel , Angiology 2:85, 1951.Crossref 10. Fontaine, R.: Remarks Concerning Venous Thrombosis and Its Sequellae , Surgery 41:6, 1957. 11. Homans, J.: Thrombosis of the Deep Veins of the Lower Leg, Causing Pulmonary Embolism , New Engl J Med 221:993, 1934.Crossref 12. Homans, J.: Deep Quiet Venous Thrombosis in the Lower Limb , Surg Gynec Obstet 79:70, 1944. 13. Homans, J.: The Management of Recovery From Venous Thrombosis in the Lower Limbs , Surgery 26:8, 1949. 14. Kennedy, C. S.; Miller, E. B.; McLean, D. C.; Perlis, M. S.; Dion, R. M.; and Horvitz, V. S.: Lumbar Amputation or Hemicorporectomy for Advanced Malignancy of the Lower Half of the Body , Surgery 48:357, 1960. 15. Kirtley, J. A., Jr.; Riddell, D. H., and Hamilton, E. C.: Indications and Late Results of Ligation of Inferior Vena Cava , Ann Surg 141:653, 1955.Crossref 16. Läwen, A.: Weitere Erfahrungen über operative Thrombenentfernung bei Venenthrombose , Arch Klin Chir 193:723, 1938. 17. McLachlin, J., and Paterson, J. C.: Some Basic Observations on Venous Thrombosis and Pulmonary Embolism , Surg Gynec Obstet 93:1, 1951. 18. Miller, E. B.: Personal communication to the authors. 19. Moretz, W. H.; Naisbitt, P. F.; and Stevenson, G. P.: Experimental Studies on Temporary Occlusion of the Inferior Vena Cava , Surgery 36:384, 1954. 20. Moretz, W. H.; Rhode, C. M.; and Shepherd, M. H.: Prevention of Pulmonary Emboli by Partial Occlusion of the Inferior Vena Cava , Amer Surg 25:617, 1959. 21. North, J. P.: Personal communication to the authors. 22. North, J. P., in discussion of Spencer et al.28 23. Ochsner, A.: Indications for and Results of Inferior Vena Caval Ligation for Thromboembolic Disease , Postgrad Med 27:193, 1960. 24. Pualwan, F.; Jones, G. E.; Bruny, S. J.; and Dale, W. A.: Effects of Ligation of the Inferior Vena Cava With Absorbable Suture , Surg Forum 5:179, 1954. 25. Sanders, R. J.: Personal communication to the authors. 26. Shea, P. C., Jr., and Robertson, R. L.: Late Sequellae of Inferior Vena Cava Ligation , Surg Gynec Obstet 93:153, 1951. 27. Spencer, F. C.: An Experimental Evaluation of Partitioning of the Inferior Vena Cava to Prevent Pulmonary Embolism , Surg Forum 10:680, 1960. 28. Spencer, F. C.; Quattlebaum, J. K.; Quattlebaum, J. K., Jr.; Sharp, E. H.; and Jude, J. R.: Plication of the Inferior Vena Cava for Pulmonary Embolism , Ann Surg 155:827, 1962.Crossref 29. Streuter, M. A., and Paine, J. R.: Temporary Occlusion of the Inferior Vena Cava Suggested as a Means of Treatment in Thromboembolism Requiring Cava Ligation , Surgery 34:20, 1953. 30. Trendelenberg, F.: Operative Interference in Embolism of the Pulmonary Artery , Ann Surg 48:772, 1908.Crossref 31. Voorhees, A. B., Jr.; Jaretzki, A., Jr.; and Blakemore, A. H.: The Use of Tubes Constructed From Vinyon-N Cloth in Bridging Arterial Defects , Ann Surg 135:332, 1952.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

A Vena Cava Filter for the Prevention of Pulmonary Embolism: A Five-Year Clinical Experience

Archives of Surgery , Volume 86 (5) – May 1, 1963

Loading next page...
 
/lp/american-medical-association/a-vena-cava-filter-for-the-prevention-of-pulmonary-embolism-a-five-DtxjA7tSS1
Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310110162022
Publisher site
See Article on Publisher Site

Abstract

Abstract Introduction Mechanistic methods for preventing fatal pulmonary infarction due to thromboembolism have challenged the imagination of surgeons since Trendelenberg first proposed pulmonary embolectomy in 1908.30 Ligation of femoral veins, first proposed by Homans in 193411 has been subjected to extensive trial and study and has been found wanting.4,13,17 Iliofemoral thrombectomy, introduced by Läwen in 1938,16 is currently experiencing a rebirth of interest and may be effective in acute processes.5,10 Permanent ligation of the vena cava, also first suggested by Homans12 in 1944, has most successfully withstood the test of time and has undoubtedly saved many lives.23Although some surgeons15,23 minimize its importance, many patients experience significant postligation ulceration or edema after caval ligation.26 This has provoked other investigators to continue their search for a better method. Streuter and Paine (1951),29 Pualwan et al (1954),24 and Dale (1958)3 presented References 1. Coon, W. W.; MacKenzie, J. W.; and Hodgson, P. E.: A Critical Evaluation of Anticoagulant Therapy in Peripheral Venous Thrombosis and Pulmonary Embolism , Surg Gynec Obstet 106:129, 1958. 2. Coon, W. W., and Coller, F. A.: Some Epidemiologic Considerations of Thromboembolism , Surg Gynec Obstet 109:487, 1959. 3. Dale, W. A.: Ligation of the Inferior Vena Cava for Thromboembolism , Surgery 43:24, 1958. 4. Dale, W. A.: Inferior Vena Caval Ligation for Venous Thromboembolism , Rev Surg 19:1, 1962. 5. DeWeese, J. A.; Jones, T. I.; Lyon, J.; and Dale W. A.: Evaluation of Thrombectomy in the Management of Iliofemoral Venous Thrombosis , Surgery 47:140, 1960. 6. DeWeese, J. A.: Personal communication to the authors. 7. DeWeese, M. S., and Hunter, D. C., Jr.: A Vena Cava Filter for the Prevention of Pulmonary Emboli , Bull Soc Int Chir 17:17, 1958. 8. DeWeese, M. S., and Hunter, D. C., Jr.: Unpublished data. 9. Edwards, E. A.: Clinical Anatomy of Lesser Variations of the Inferior Vena Cava and a Proposal for Classifying the Anomalies of This Vessel , Angiology 2:85, 1951.Crossref 10. Fontaine, R.: Remarks Concerning Venous Thrombosis and Its Sequellae , Surgery 41:6, 1957. 11. Homans, J.: Thrombosis of the Deep Veins of the Lower Leg, Causing Pulmonary Embolism , New Engl J Med 221:993, 1934.Crossref 12. Homans, J.: Deep Quiet Venous Thrombosis in the Lower Limb , Surg Gynec Obstet 79:70, 1944. 13. Homans, J.: The Management of Recovery From Venous Thrombosis in the Lower Limbs , Surgery 26:8, 1949. 14. Kennedy, C. S.; Miller, E. B.; McLean, D. C.; Perlis, M. S.; Dion, R. M.; and Horvitz, V. S.: Lumbar Amputation or Hemicorporectomy for Advanced Malignancy of the Lower Half of the Body , Surgery 48:357, 1960. 15. Kirtley, J. A., Jr.; Riddell, D. H., and Hamilton, E. C.: Indications and Late Results of Ligation of Inferior Vena Cava , Ann Surg 141:653, 1955.Crossref 16. Läwen, A.: Weitere Erfahrungen über operative Thrombenentfernung bei Venenthrombose , Arch Klin Chir 193:723, 1938. 17. McLachlin, J., and Paterson, J. C.: Some Basic Observations on Venous Thrombosis and Pulmonary Embolism , Surg Gynec Obstet 93:1, 1951. 18. Miller, E. B.: Personal communication to the authors. 19. Moretz, W. H.; Naisbitt, P. F.; and Stevenson, G. P.: Experimental Studies on Temporary Occlusion of the Inferior Vena Cava , Surgery 36:384, 1954. 20. Moretz, W. H.; Rhode, C. M.; and Shepherd, M. H.: Prevention of Pulmonary Emboli by Partial Occlusion of the Inferior Vena Cava , Amer Surg 25:617, 1959. 21. North, J. P.: Personal communication to the authors. 22. North, J. P., in discussion of Spencer et al.28 23. Ochsner, A.: Indications for and Results of Inferior Vena Caval Ligation for Thromboembolic Disease , Postgrad Med 27:193, 1960. 24. Pualwan, F.; Jones, G. E.; Bruny, S. J.; and Dale, W. A.: Effects of Ligation of the Inferior Vena Cava With Absorbable Suture , Surg Forum 5:179, 1954. 25. Sanders, R. J.: Personal communication to the authors. 26. Shea, P. C., Jr., and Robertson, R. L.: Late Sequellae of Inferior Vena Cava Ligation , Surg Gynec Obstet 93:153, 1951. 27. Spencer, F. C.: An Experimental Evaluation of Partitioning of the Inferior Vena Cava to Prevent Pulmonary Embolism , Surg Forum 10:680, 1960. 28. Spencer, F. C.; Quattlebaum, J. K.; Quattlebaum, J. K., Jr.; Sharp, E. H.; and Jude, J. R.: Plication of the Inferior Vena Cava for Pulmonary Embolism , Ann Surg 155:827, 1962.Crossref 29. Streuter, M. A., and Paine, J. R.: Temporary Occlusion of the Inferior Vena Cava Suggested as a Means of Treatment in Thromboembolism Requiring Cava Ligation , Surgery 34:20, 1953. 30. Trendelenberg, F.: Operative Interference in Embolism of the Pulmonary Artery , Ann Surg 48:772, 1908.Crossref 31. Voorhees, A. B., Jr.; Jaretzki, A., Jr.; and Blakemore, A. H.: The Use of Tubes Constructed From Vinyon-N Cloth in Bridging Arterial Defects , Ann Surg 135:332, 1952.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1963

References