A retrospective analysis was performed on 40 critically ill patients with evidence of pulmonary embolism in whom Eichelter catheters had been inserted for prevention of further embolism. All patients were poor candidates for inferior vena cava ligation and heparin was either contraindicated or ineffective. The mortality of 38% reflected the severity of illness in this group. Although the complication rate was high (48%), the procedure was not associated with loss of life or limb and embolism did not recur. The Eichelter catheter is a safe and effective means of preventing pulmonary embolism in patients in whom anticoagulation and inferior vena cava ligation are contraindicated.
Major WK, Williams RW, Schenk WG. The Eichelter CatheterFurther Experience. Arch Surg. 1974;109(2):278-282. doi:10.1001/archsurg.1974.01360020138026