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Commentary on 'Late gastrointestinal complications of inferior vena cava filter placement: Case report and literature review'

机译:关于“下腔静脉滤器放置的晚期胃肠道并发症:病例报告和文献复习”的评论

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摘要

Although most evidence-based guidelines recommend vena cava filter placement in patients with documented venous thromboembolism and a contraindication to anticoagulation, complication of anticoagulation, or recurrent venous thromboembolism despite therapeutic anticoagulation, expanded relative indications based on inconclusive evidence have included venous prophylaxis in high-risk surgical, medical, or trauma patients. Despite lack of evidence supporting filter use especially for venous thromboembolism prophylaxis, there has been a significant expansion in filter use in the United States over the past 30 years, which has raised concern within the Food and Drug Administration (FDA) resulting in a safety alert issued August 8, 2010 (http:// www.fda.gov/Safety/MedWatch/Safety Information/Safety AlertsforHumanMedicalProducts/ucm22 1707.htm).
机译:尽管大多数循证指南建议在已记录静脉血栓栓塞并有抗凝禁忌症,尽管治疗性抗凝的情况下抗凝并发症或复发性静脉血栓栓塞的患者中行静脉腔静脉滤器置入术,但基于不确定性证据的扩大的相对适应症包括高风险的静脉预防外科,内科或外伤患者。尽管缺乏证据支持过滤器的使用,尤其是预防静脉血栓栓塞,但在过去的30年中,美国过滤器的使用已显着增加,这引起了食品药品监督管理局(FDA)的关注,从而引发了安全警报发布于2010年8月8日(http://www.fda.gov/Safety/MedWatch/Safety Information / Safety AlertsforHumanMedicalProducts / ucm22 1707.htm)。

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