Adelson J, Steer M L, Glotzer D J, Skillman J J, Simon M, Salzman E W
Surgery. 1980 Feb;87(2):184-9.
The occurrence, in one patient, of a life-threatening pulmonary embolus 3 days following insertion of a Mobin-Uddin umbrella filter promoted a review of our experience with this device. Over the past 5 years, 41 patients had umbrella filters inserted at the Beth Israel Hospital. Five patients (12%) had proven or probable pulmonary embolization following filer placement. In four of the seven autopsied patients, thrombus was found on the cardiac side of the umbrella, and in one of these patients a fresh embolus was also found in the pulmonary artery. We conclude that the standard (nonheparin-impregnated) Mobin-Uddin umbrella device offers incomplete protection against pumonary embolization in patients who cannot concurrently receive anticoagulant drugs.
一名患者在植入莫宾-乌丁伞形滤器3天后发生危及生命的肺栓塞，促使我们对使用该装置的经验进行回顾。在过去5年中，41例患者在贝斯以色列医院植入了伞形滤器。5例患者（12%）在滤器置入后发生了经证实或可能的肺栓塞。在7例尸检患者中的4例，在伞的心脏侧发现血栓，其中1例患者在肺动脉中也发现了新鲜栓子。我们得出结论，对于不能同时接受抗凝药物治疗的患者，标准的（未浸渍肝素的）莫宾-乌丁伞形装置对肺栓塞的预防作用并不完全。
