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The Eichelter Catheter: Further Experience

The Eichelter Catheter: Further Experience Abstract A retrospective analysis was performed on 40 critically ill patients with evidence of pulmonary embolism in whom Eichelter catheters had been inserted for prevention of further embolism. All patients were poor candidates for inferior vena cava ligation and heparin was either contraindicated or ineffective. The mortality of 38% reflected the severity of illness in this group. Although the complication rate was high (48%), the procedure was not associated with loss of life or limb and embolism did not recur. The Eichelter catheter is a safe and effective means of preventing pulmonary embolism in patients in whom anticoagulation and inferior vena cava ligation are contraindicated. References 1. Williams RW, Schenk WG Jr: A removable intra-caval filter for prevention of pulmonary embolism: Early experience with the use of the Eichelter catheter in patients . Surgery 68:999-1004, 1970. 2. Barner HB, DeWeese JA: An evaluation of the sphygmomanometer cuff pain test in venous thrombosis . Surgery 48:915-924, 1960. 3. DeBakey ME: A critical evaluation of the problems of thromboembolism . Surg Gynecol Obstet 98:1-27, 1954. 4. Coon WW, Coller FA: Clinicopathologic correlation in thromboembolism . Surg Gynecol Obstet 109:259-269, 1959. 5. Dale WA, Lewis MR: Heparin control of venous thromboembolism . Arch Surg 101:744-755, 1970.Crossref 6. Barker NW, et al: A statistical study of postoperative venous thrombosis and pulmonary embolism: Time of occurrence during operative period . Proc Staff Meeting Mayo Clin 16:17-21, 1941. 7. Cordell AR, et al: Pulmonary embolism revisited . Ann Surg 169:947-952, 1969.Crossref 8. Donaldson GA, Linton RR, Rodkey GV: Twenty-year survey of thromboembolism at Massachusetts General Hospital, 1939-1959 . N Engl J Med 265:208-214, 1961.Crossref 9. Mozes M, et al: Vein ligation in the treatment of pulmonary embolism . Surgery 55:621-629, 1964. 10. Nabseth DC, Moran JM: Reassessment of the role of inferior-vena-cava ligation in venous thromboembolism . N Engl J Med 273:1250-1252, 1965.Crossref 11. Crane C: Femoral vs caval interruption for venous thromboembolism . N Engl J Med 270:819-822, 1964.Crossref 12. Eichelter P, Schenk WG Jr: A new experimental approach to prophylaxis of pulmonary embolism . Rev Surg 24:455-456, 1967. 13. Eichelter P, Schenk WG Jr: Prophylaxis of pulmonary embolism . Arch Surg 97:348-356, 1968.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Eichelter Catheter: Further Experience

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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1974.01360020138026
Publisher site
See Article on Publisher Site

Abstract

Abstract A retrospective analysis was performed on 40 critically ill patients with evidence of pulmonary embolism in whom Eichelter catheters had been inserted for prevention of further embolism. All patients were poor candidates for inferior vena cava ligation and heparin was either contraindicated or ineffective. The mortality of 38% reflected the severity of illness in this group. Although the complication rate was high (48%), the procedure was not associated with loss of life or limb and embolism did not recur. The Eichelter catheter is a safe and effective means of preventing pulmonary embolism in patients in whom anticoagulation and inferior vena cava ligation are contraindicated. References 1. Williams RW, Schenk WG Jr: A removable intra-caval filter for prevention of pulmonary embolism: Early experience with the use of the Eichelter catheter in patients . Surgery 68:999-1004, 1970. 2. Barner HB, DeWeese JA: An evaluation of the sphygmomanometer cuff pain test in venous thrombosis . Surgery 48:915-924, 1960. 3. DeBakey ME: A critical evaluation of the problems of thromboembolism . Surg Gynecol Obstet 98:1-27, 1954. 4. Coon WW, Coller FA: Clinicopathologic correlation in thromboembolism . Surg Gynecol Obstet 109:259-269, 1959. 5. Dale WA, Lewis MR: Heparin control of venous thromboembolism . Arch Surg 101:744-755, 1970.Crossref 6. Barker NW, et al: A statistical study of postoperative venous thrombosis and pulmonary embolism: Time of occurrence during operative period . Proc Staff Meeting Mayo Clin 16:17-21, 1941. 7. Cordell AR, et al: Pulmonary embolism revisited . Ann Surg 169:947-952, 1969.Crossref 8. Donaldson GA, Linton RR, Rodkey GV: Twenty-year survey of thromboembolism at Massachusetts General Hospital, 1939-1959 . N Engl J Med 265:208-214, 1961.Crossref 9. Mozes M, et al: Vein ligation in the treatment of pulmonary embolism . Surgery 55:621-629, 1964. 10. Nabseth DC, Moran JM: Reassessment of the role of inferior-vena-cava ligation in venous thromboembolism . N Engl J Med 273:1250-1252, 1965.Crossref 11. Crane C: Femoral vs caval interruption for venous thromboembolism . N Engl J Med 270:819-822, 1964.Crossref 12. Eichelter P, Schenk WG Jr: A new experimental approach to prophylaxis of pulmonary embolism . Rev Surg 24:455-456, 1967. 13. Eichelter P, Schenk WG Jr: Prophylaxis of pulmonary embolism . Arch Surg 97:348-356, 1968.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1974

References