Improved recovery of prophylactic inferior vena cava filters in trauma patients: the results of a dedicated filter registry and critical pathway for filter removal

The Journal of Trauma and Acute Care Surgery
Frederick B RogersAngela Gambler

Abstract

Temporary inferior vena cava filters (IVCF) are uniquely suited for trauma patients in whom the high risk of venous thromboembolism is transient. Currently, few "retrievable filters" are actually retrieved, with most published series documenting a retrieval rate between 20% and 50%. We sought to determine whether we could achieve a higher rate of retrieval with an improved process of care. All permanent and temporary filters were entered prospectively into a dedicated filter registry. Within 60 days of filter placement, all temporary filter patients were contacted by a trauma case manager to evaluate ongoing venous thromboembolism risk. Low-risk patients were then evaluated by radiology for removal of the IVCF. If appropriate, removal of the IVCF was scheduled. Initial contacts with patients were made by telephone. If unsuccessful with phone contact, family members, rehabilitation facility, and social work were all contacted to obtain the most recent phone number and address. A follow-up letter was sent to the patient with follow-up visit instructions. Finally, if prior contact measures did not work, a certified letter was sent to the last known address. Between 2006 and 2009, of 7,949 trauma admissions, 420 (5.2%) met indicati...Continue Reading

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Citations

Jan 1, 2013·ISRN Radiology·Han Ni, Lei Lei Win
Jun 19, 2016·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Elica InagakiJeffrey Kalish
Mar 11, 2015·Journal of Medical Imaging and Radiation Oncology·Allan AveryJohn Harper
Oct 3, 2013·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Umang SwamiIlmana Fulger
Nov 11, 2017·Vascular and Endovascular Surgery·Jordan R SternPeter H Connolly
Oct 8, 2013·Obesity Surgery·Ahmed TwaijSanjay Purkayastha
Jun 6, 2019·The Journal of Trauma and Acute Care Surgery·Justin M RobbinsRoxie M Albrecht
Aug 17, 2018·International Journal of Vascular Medicine·Peter A GainesDeepal K Panchal
Jul 24, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·W R LeeperN G Parry

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