P Rossi1, F M Arata, P Bonaiuti, V Pedicini. 1. Department of Radiology, III Chair, University of Rome La Sapienza, Policlinico Umberto I, Italy.
Abstract
PURPOSE: To report the risk of fatal atrial migration with the Tempofilter. METHODS: Among temporary filters, the high safety profile Tempofilter has been marketed as offering protection for up to 6 weeks. We implanted about 60 Tempofilters to prevent pulmonary embolism. The main indications were temporary thromboembolic risk, recurrent pulmonary embolism, and contraindication to or failure of anticoagulant therapy. Follow-up was performed regularly by plain abdominal film and Doppler ultrasound. Filters were removed about 4 weeks after placement. RESULTS: We encountered three cases (5%) of atrial migration and one case of 5-cm cephalad displacement of the filter. Of the three patients with atrial migration, two died within 3 days of implantation, one from a massive pulmonary embolism and the other with cardiac tamponade. One patient did not show any serious complications. CONCLUSIONS: The Tempofilter may actively migrate cranially and become dangerous in the case of migration within the heart.
PURPOSE: To report the risk of fatal atrial migration with the Tempofilter. METHODS: Among temporary filters, the high safety profile Tempofilter has been marketed as offering protection for up to 6 weeks. We implanted about 60 Tempofilters to prevent pulmonary embolism. The main indications were temporary thromboembolic risk, recurrent pulmonary embolism, and contraindication to or failure of anticoagulant therapy. Follow-up was performed regularly by plain abdominal film and Doppler ultrasound. Filters were removed about 4 weeks after placement. RESULTS: We encountered three cases (5%) of atrial migration and one case of 5-cm cephalad displacement of the filter. Of the three patients with atrial migration, two died within 3 days of implantation, one from a massive pulmonary embolism and the other with cardiac tamponade. One patient did not show any serious complications. CONCLUSIONS: The Tempofilter may actively migrate cranially and become dangerous in the case of migration within the heart.
Authors: F Ferraro; T L Di Gennaro; A Torino; J Petruzzi; A d'Elia; P Fusco; R Marfella; B Lettieri Journal: Drug Des Devel Ther Date: 2014-11-06 Impact factor: 4.162
Authors: Abdel Rahman A Al Manasra; Ra'fat A Tawalbeh; Doaa I Al-Qaoud; Mahmoud H Ayesh; Mamoon H Al-Omari; Tarek Manasreh; Jehad Fataftah Journal: Am J Case Rep Date: 2021-03-12