Fatal outcome in atrial migration of the tempofilter

Plinio Rossi, Flaminia Marcella Arata, Paola Bonaiuti, Vittorio Pedicini

Research output: Contribution to journalArticle

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 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.

Original languageEnglish
Pages (from-to)227-231
Number of pages5
JournalCardioVascular and Interventional Radiology
Volume22
Issue number3
DOIs
Publication statusPublished - May 1999

Keywords

  • Filter complications
  • Filters
  • Pulmonary embolism
  • Temporary filters

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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