Effectiveness, Retrievability, and Safety of Celect vs. ALN Inferior Vena Cava Filters: A Randomized Prospective Multicenter Controlled Study

The purpose of this study is to compare IVC Celect and ALN filters in regard to their efficacy, retrievability, and one-year follow-up after retrieval. Materials and Methods: This is a prospective randomized study, conducted in three centers between April 2020 and May 2021. A total of 115 participan...

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Main Authors: Miguel Angel De Gregorio, Juan Jose Ciampi-Dopazo, Jose Urbano, Roman Bernal, Carolina Serrano-Casorrán, Cristina Bonastre, Jose Maria Abadal, Santiago Mendez, Arturo Fredes, Jose Rodriguez, Sergio Rodriguez, Jose Andres Guirola
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Journal of Vascular Diseases
Subjects:
Online Access:https://www.mdpi.com/2813-2475/2/1/12
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author Miguel Angel De Gregorio
Juan Jose Ciampi-Dopazo
Jose Urbano
Roman Bernal
Carolina Serrano-Casorrán
Cristina Bonastre
Jose Maria Abadal
Santiago Mendez
Arturo Fredes
Jose Rodriguez
Sergio Rodriguez
Jose Andres Guirola
author_facet Miguel Angel De Gregorio
Juan Jose Ciampi-Dopazo
Jose Urbano
Roman Bernal
Carolina Serrano-Casorrán
Cristina Bonastre
Jose Maria Abadal
Santiago Mendez
Arturo Fredes
Jose Rodriguez
Sergio Rodriguez
Jose Andres Guirola
author_sort Miguel Angel De Gregorio
collection DOAJ
description The purpose of this study is to compare IVC Celect and ALN filters in regard to their efficacy, retrievability, and one-year follow-up after retrieval. Materials and Methods: This is a prospective randomized study, conducted in three centers between April 2020 and May 2021. A total of 115 participants were randomized, of which 15 participants were excluded for various reasons. Each group of 50 participants was finally assigned a type of filter (Celect n = 50 and ALN = 50). Tilt angles at placement and retrieval, rates of overall filter retrieval, complications, complex retrieval, and clinical follow-up at 12 months were compared. Results: One hundred participants (59 men and 41 women) were included. The mean age was 62.4 ± 13.3, with no significant differences between both groups (<i>p</i> 0.503). The mean of dwelling time was 44.7 ± 93 days. (<i>p</i> 0.520) Filter retrieval was successful in all participants (100%). The main complication in CT prior to removal was tilt >15° (31%) and filter tip embedment (16%). No significant differences were observed in the type of retrieval (standard or complex) between both filters (<i>p</i> 0.24); however, fluoroscopy time was significantly longer in the complex removal of the Celect filter: 29.1 ± 12 min vs. 17.5 ± 10.3 (<i>p</i> 0.005). After one year, no recurrent pulmonary embolism was observed in both types of filters. Conclusions: The ALN filter had a significantly lower rate of tip and filter tip embedding, with no differences in complexity or removal success rate. There were significant differences in the fluoroscopy time consumed for standard and complex retrievals between both filters, with less time for the ALN filter.
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spelling doaj.art-d81e3ee98c30416ea1bc23451f4d4f2b2023-11-17T12:05:02ZengMDPI AGJournal of Vascular Diseases2813-24752023-03-012117718710.3390/jvd2010012Effectiveness, Retrievability, and Safety of Celect vs. ALN Inferior Vena Cava Filters: A Randomized Prospective Multicenter Controlled StudyMiguel Angel De Gregorio0Juan Jose Ciampi-Dopazo1Jose Urbano2Roman Bernal3Carolina Serrano-Casorrán4Cristina Bonastre5Jose Maria Abadal6Santiago Mendez7Arturo Fredes8Jose Rodriguez9Sergio Rodriguez10Jose Andres Guirola11Interventional Radiology, Clínica Quiron Salud Zaragoza, University of Zaragoza, GITMI, 50009 Zaragoza, SpainInterventional Radiology, Hospital Universitario Virgen de las Nieves of Granada, GITMI, 50009 Zaragoza, SpainInterventional Radiology, Hospital Universitario Ramon y Cajal Madrid, University of Alcala Madrid, GITMI, 50009 Zaragoza, SpainInterventional Radiology, Clínica Quiron Salud Zaragoza, University of Zaragoza, GITMI, 50009 Zaragoza, SpainInterventional Radiology, Facultad de Veterinaria, University of Zaragoza, GITMI, 50009 Zaragoza, SpainInterventional Radiology, Facultad de Veterinaria, University of Zaragoza, GITMI, 50009 Zaragoza, SpainInterventional Radiology, Hospital Severo Ochoa Medical School University Afonso X el Sabio, 28914 Madrid, SpainInterventional Radiology, Hospital Universitario Puerta de Hierro, 28222 Madrid, SpainInterventional Radiology, Clínica Quiron Salud Zaragoza, University of Zaragoza, GITMI, 50009 Zaragoza, SpainInterventional Radiology, Facultad de Veterinaria, University of Zaragoza, GITMI, 50009 Zaragoza, SpainInterventional Radiology, Facultad de Veterinaria, University of Zaragoza, GITMI, 50009 Zaragoza, SpainInterventional Radiology, Hospital Clínico Universitario, Lozano Blesa Zaragoza, University of Zaragoza, GITMI, 50009 Zaragoza, SpainThe purpose of this study is to compare IVC Celect and ALN filters in regard to their efficacy, retrievability, and one-year follow-up after retrieval. Materials and Methods: This is a prospective randomized study, conducted in three centers between April 2020 and May 2021. A total of 115 participants were randomized, of which 15 participants were excluded for various reasons. Each group of 50 participants was finally assigned a type of filter (Celect n = 50 and ALN = 50). Tilt angles at placement and retrieval, rates of overall filter retrieval, complications, complex retrieval, and clinical follow-up at 12 months were compared. Results: One hundred participants (59 men and 41 women) were included. The mean age was 62.4 ± 13.3, with no significant differences between both groups (<i>p</i> 0.503). The mean of dwelling time was 44.7 ± 93 days. (<i>p</i> 0.520) Filter retrieval was successful in all participants (100%). The main complication in CT prior to removal was tilt >15° (31%) and filter tip embedment (16%). No significant differences were observed in the type of retrieval (standard or complex) between both filters (<i>p</i> 0.24); however, fluoroscopy time was significantly longer in the complex removal of the Celect filter: 29.1 ± 12 min vs. 17.5 ± 10.3 (<i>p</i> 0.005). After one year, no recurrent pulmonary embolism was observed in both types of filters. Conclusions: The ALN filter had a significantly lower rate of tip and filter tip embedding, with no differences in complexity or removal success rate. There were significant differences in the fluoroscopy time consumed for standard and complex retrievals between both filters, with less time for the ALN filter.https://www.mdpi.com/2813-2475/2/1/12vena cava filterscomparative studysafety and efficacy of IVCFs
spellingShingle Miguel Angel De Gregorio
Juan Jose Ciampi-Dopazo
Jose Urbano
Roman Bernal
Carolina Serrano-Casorrán
Cristina Bonastre
Jose Maria Abadal
Santiago Mendez
Arturo Fredes
Jose Rodriguez
Sergio Rodriguez
Jose Andres Guirola
Effectiveness, Retrievability, and Safety of Celect vs. ALN Inferior Vena Cava Filters: A Randomized Prospective Multicenter Controlled Study
Journal of Vascular Diseases
vena cava filters
comparative study
safety and efficacy of IVCFs
title Effectiveness, Retrievability, and Safety of Celect vs. ALN Inferior Vena Cava Filters: A Randomized Prospective Multicenter Controlled Study
title_full Effectiveness, Retrievability, and Safety of Celect vs. ALN Inferior Vena Cava Filters: A Randomized Prospective Multicenter Controlled Study
title_fullStr Effectiveness, Retrievability, and Safety of Celect vs. ALN Inferior Vena Cava Filters: A Randomized Prospective Multicenter Controlled Study
title_full_unstemmed Effectiveness, Retrievability, and Safety of Celect vs. ALN Inferior Vena Cava Filters: A Randomized Prospective Multicenter Controlled Study
title_short Effectiveness, Retrievability, and Safety of Celect vs. ALN Inferior Vena Cava Filters: A Randomized Prospective Multicenter Controlled Study
title_sort effectiveness retrievability and safety of celect vs aln inferior vena cava filters a randomized prospective multicenter controlled study
topic vena cava filters
comparative study
safety and efficacy of IVCFs
url https://www.mdpi.com/2813-2475/2/1/12
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