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Medicine Noon Conference

Objectives:1. Briefly review the history of mechanical vena caval interruption and the currently available vena caval filters.2. Examine the available evidence of vena caval filter efficacy, including an assessment of common complications.3. Review the indications for placement of permanent a

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Medicine Noon Conference

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    1. Medicine Noon Conference February 2, 2009 Vena Caval Filters: When, Why, and for How Long? Frank Jacono, M.D.

    2. Objectives: 1. Briefly review the history of mechanical vena caval interruption and the currently available vena caval filters. 2. Examine the available evidence of vena caval filter efficacy, including an assessment of common complications. 3. Review the indications for placement of permanent and optional caval filtration devices.

    3. Pulmonary Embolus Venous thrombosis is always a severe disease and is often fatal, because fragments of the thrombi may detach and occlude branches of the pulmonary artery. . . . the occlusion of the main branches of the pulmonary artery causes a striking rise of the blood pressure in these vessels. This rise - which the right heart must fight in order to ensure circulation - may sometimes lead to cardiac arrest. Picot 1884 Lecous de Clinique Médicale1

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