Removal of Retrievable Inferior Vena Cava Filters 90 Days After Implantation in an Ovine Model: Is There a Time Limit for Removal?

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"tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "591" "paginaFinal" => "596" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Ángel de Gregorio, Alicia Laborda, María Teresa Higuera, Fernando Lostale, Javier Gómez-Arrue, Carolina Serrano, Miguel Ángel Martínez, Américo Viloria" "autores" => array:8 [ 0 => array:4 [ "nombre" => "Miguel Ángel" "apellidos" => "de Gregorio" "email" => array:1 [ 0 => "mgregori@unizar.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Alicia" "apellidos" => "Laborda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "María Teresa" "apellidos" => "Higuera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "Fernando" "apellidos" => "Lostale" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "Javier" "apellidos" => "Gómez-Arrue" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff1" ] ] ] 5 => array:3 [ "nombre" => "Carolina" "apellidos" => "Serrano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff1" ] ] ] 6 => array:3 [ "nombre" => "Miguel Ángel" "apellidos" => "Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff2" ] ] ] 7 => array:3 [ "nombre" => "Américo" "apellidos" => "Viloria" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Cirugía Mínimamente Invasiva Guiada por Imagen, Facultad de Veterinaria, Universidad de Zaragoza, Spain" "etiqueta" => "a" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "I3A, Instituto de Investigación en Ingeniería de Aragón, Grupo de Mecánica, Estructural y Modelado de Materiales, Escuela Politécnica Superior, Universidad de Zaragoza, Spain" "etiqueta" => "b" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. M.A. de Gregorio Gómez Laguna, 13, 5º B 50009 Zaragoza, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-09-04" "fechaAceptado" => "2007-11-21" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155073" "palabras" => array:3 [ 0 => "Filters" 1 => "Inferior vena cava" 2 => "Pulmonary embolism" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155072" "palabras" => array:3 [ 0 => "Filtros" 1 => "Vena cava inferior" 2 => "Embolia pulmonar" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "ObjectiveTo study the feasibility and safety of removing retrievable Günther-Tulip vena cava filters (GTFs) 90 days after their implantation in an ovine model. Material and methodsThirty GTFs were implanted in 30 ewes and retrieval was attempted at 90 days. Conventional cavography was performed in all cases before and after retrieval in order to evaluate inferior vena cava patency and record dimensions. The presence of complications related to placement and retrieval of the filter from the inferior vena cava was also recorded. The force required to remove the filters was measured using a modified commercial dynamometer adapted to the GTF retrieval set. Histologic study focused on the inferior vena cava wall. ResultsImplantation was performed successfully in all cases (100%). One ewe developed a small focus of thrombosis around 1 of the legs of the filter and another presented a small thrombus within the filter. Retrieval of the filter was attempted in all 30 sheep at 90 days and the result was satisfactory in all but 1 case (96.6%). None of the GTFs required a force greater than 12 N to disengage the hooks of the filter from the wall. No complications were detected on venacavography or at autopsy. Variable degrees of fibrosis were observed in the histologic study. ConclusionsRetrieval of GTFs 90 days after implantation in an ovine model was feasible, safe, and easy, and required little force (median, 4.2 N)." ] "es" => array:1 [ "resumen" => "ObjetivoEstudiar la posibilidad y la seguridad de recuperar filtros opcionales de vena cava Günther-Tulip (FGT) a los 90 días de su implantación inicial en un modelo animal ovino Material y métodosSe implantaron 30 FGT en otras tantas ovejas hembras y se intentó recuperarlos 90 días después de su implantación. Se realizó cavografía convencional en todos los casos antes y después de la recuperación, para evaluar la permeabilidad de la vena cava. Se obtuvieron medidas de la vena cava y se documentó la presencia de complicaciones relativas a la implantación y recuperación del filtro de vena cava inferior (VCI). Se midió la fuerza requerida para recuperar los filtros de vena cava con un dinamómetro comercial modificado y adaptado al equipo de recuperación de FGT. El estudio histológico se centró en la pared de la VCI. ResultadosLa implantación se efectuó con éxito en todos los casos (100%). Una oveja desarrolló un pequeño foco de trombosis en una de las patas del filtro y otra presentó un trombo pequeño en el interior del filtro. Se intentó la recuperación del filtro en las 30 ovejas y, excepto en un caso, el resultado fue satisfactorio (96,6%). En la recuperación de los 30 FGT, la fuerza necesaria para desenganchar las patas del filtro de la VCI fue menor de 12 newtons (N). No se observó ninguna complicación en los cavogramas ni en la autopsia. Se observaron diferentes grados de fibrosis en el estudio histológico. ConclusionesEn un modelo animal ovino, la recupera-ción de FGT a los 90 días de su implantación es posible, segura y fácil, y requiere poca fuerza (mediana: 4,2 N)." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:28 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Update on inferior vena cava filters" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "TB Kinney" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Vasc Interv Radiol" "fecha" => "2003" "volumen" => "14" "paginaInicial" => "425" "paginaFinal" => "440" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12682199" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => 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