CardioVascular and Interventional Radiology

, Volume 36, Issue 4, pp 998–1005

Safety and Efficacy of the Gunther Tulip Retrievable Vena Cava Filter: Midterm Outcomes

Authors

    • Department of Radiology, Section of Vascular and Interventional RadiologyDartmouth-Hitchcock Medical Center
  • Rebecca J. Mueller
    • Department of Radiology, Section of Vascular and Interventional RadiologyDartmouth-Hitchcock Medical Center
  • Marcus R. Luciano
    • Department of Radiology, Section of Vascular and Interventional RadiologyDartmouth-Hitchcock Medical Center
  • Nicole N. Lee
    • Department of Radiology, Section of Vascular and Interventional RadiologyDartmouth-Hitchcock Medical Center
  • Anne T. Michaels
    • Department of Radiology, Section of Vascular and Interventional RadiologyDartmouth-Hitchcock Medical Center
  • John M. Gemery
    • Department of Radiology, Section of Vascular and Interventional RadiologyDartmouth-Hitchcock Medical Center
Clinical Investigation

DOI: 10.1007/s00270-012-0517-7

Cite this article as:
Hoffer, E.K., Mueller, R.J., Luciano, M.R. et al. Cardiovasc Intervent Radiol (2013) 36: 998. doi:10.1007/s00270-012-0517-7

Abstract

Purpose

To evaluate of the medium-term integrity, efficacy, and complication rate associated with the Gunther Tulip vena cava filter.

Methods

A retrospective study was performed of 369 consecutive patients who had infrarenal Gunther Tulip inferior vena cava filters placed over a 5-year period. The mean patient age was 61.8 years, and 59 % were men. Venous thromboembolic disease and a contraindication to or complication of anticoagulation were the indications for filter placement in 86 % of patients; 14 % were placed for prophylaxis in patients with a mean of 2.3 risk factors. Follow-up was obtained by review of medical and radiologic records.

Results

Mean clinical follow-up was 780 days. New or recurrent pulmonary embolus occurred in 12 patients (3.3 %). New or recurrent deep-vein thrombosis occurred in 53 patients (14.4 %). There were no symptomatic fractures, migrations, or caval perforations. Imaging follow-up in 287 patients (77.8 %) at a mean of 731 days revealed a single (0.3 %) asymptomatic fracture, migration greater than 2 cm in 36 patients (12.5 %), and no case of embolization. Of 122 patients with CT scans, asymptomatic perforations were identified in 53 patients (43.4 %) at a mean 757 days.

Conclusion

The Gunther Tulip filter was safe and effective at 2-year follow-up. Complication rates were similar to those reported for permanent inferior vena cava filters.

Keywords

Deep-vein thrombosis Inferior vena cava filter Pulmonary embolism Venous intervention

Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2012