Patterns of use and outcome of inferior vena cava filters in a tertiary care setting

European Journal of Haematology
Amihai RottenstreichYosef Kalish

Abstract

Inferior vena cava (IVC) filter placement is increasing although the evidence to justify their use is limited. Many filters are left in place indefinitely, thereby exposing patients to long-term complications. To review indications, complications, and follow-up data of patients undergoing IVC filter placement at our center. A retrospective review of consecutive admitted patients who underwent IVC filter insertion in a large university hospital with a level I trauma center. Thrombosis specialists retrospectively assessed the appropriateness of indication for IVC filter placement as well as referral for retrieval. Overall, 405 filters were inserted between 2009 and 2013. All filters were retrievable. IVC filter was placed as a primary prevention in 42% of patients. Fifty-two patients (12.8%) experienced at least one filter-related complication. The most common complication was deep vein thrombosis occurring in 6.9% of cases. Almost a third of all complications occurred in filters originally placed for prophylactic indications. Only 13.6% of filters were successfully removed. Nevertheless, according to our reviewers, an attempt for filter retrieval should have been made in 57% of all cases and in 86% of trauma patients. A signific...Continue Reading

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Citations

Jul 18, 2015·Pediatric Blood & Cancer·Amihai RottenstreichYosef Kalish
May 8, 2015·Thrombosis and Haemostasis·Christopher M Hillis, Mark A Crowther
Oct 21, 2016·American Journal of Hematology·Nabin KhanalVijaya R Bhatt
Mar 23, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Amihai RottenstreichAllan I Bloom
Nov 23, 2016·Internal and Emergency Medicine·Michele Dalla VestraRaffaele Pesavento
Jun 8, 2017·Journal of Thrombosis and Thrombolysis·Amihai RottenstreichYosef Kalish
May 28, 2017·Journal of Thrombosis and Thrombolysis·Damian EverhartMitchel Seleznick
Oct 31, 2020·Journal of the American College of Cardiology·Gregory Piazza

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