Review article: Do inferior vena cava filters prevent pulmonary embolism in critically ill trauma patients and does the benefit outweigh the risk of insertion? A narrative review article

Emergency Medicine Australasia : EMA
Gerard V Moynihan, Heike Koelzow

Abstract

Venous thromboembolic disease (VTE) increases the risk of mortality in trauma patients. To decrease the occurrence of VTE, low dose anticoagulants are commonly prescribed. This may be unacceptable in trauma patients who have a high risk of bleeding. Inferior vena cava (IVC) filters can be employed as an alternative strategy to decrease the risk of pulmonary embolism (PE). Insertion of an IVC filter is an invasive procedure that has a range of complications. The benefits of IVC filter insertion must be compared to its risk of complications in each individual patient. A search of the literature since 2005 was conducted on MEDLINE, Evidence-Based Medicine Reviews, Cochrane Central Register of Controlled Trials and Embase. The clinical question posed was does prophylactic IVC filter insertion decrease the risk of PE in trauma patients? The available evidence was low level and unable to definitively answer this question. The majority of articles infer that IVC filter insertion is safe and may decrease the risk of PE. However, there is a need for well-designed randomised controlled trials to be conducted in this area.

References

Aug 1, 1996·American Journal of Surgery·J J PiotrowskiD Jacobs
Aug 25, 2000·Journal of Vascular Surgery·L J GreenfieldP A Taheri
Jun 20, 2003·Circulation·Frederick A Anderson, Frederick A Spencer
Feb 4, 2006·The Journal of Trauma·Jared L AntevilStephen S Kaminski
Feb 16, 2006·Seminars in Thrombosis and Hemostasis·Satoshi Gando
Oct 16, 2007·The Surgical Clinics of North America·Matthew J Martin, Ali Salim
May 13, 2008·The Journal of Trauma·Karim BrohiJean-François Pittet
Nov 14, 2008·Current Opinion in Critical Care·Cino Bendinelli, Zsolt Balogh
Nov 29, 2008·Journal of Vascular Surgery·Owen N JohnsonCharles J Fox
Aug 26, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·David RosenthalWalaya C Methodius-Rayford
Sep 11, 2009·The Journal of Trauma·Herb A PhelanJoseph P Minei
Apr 14, 2010·The Journal of Trauma·Rory L SmootHenry J Schiller
Aug 10, 2010·Annual Review of Physiology·David A ManlyNigel Mackman
Sep 14, 2010·Annals of Vascular Surgery·Faisal Aziz, Anthony J Comerota
Oct 28, 2010·Seminars in Thrombosis and Hemostasis·Eduardo GonzalezJeffry L Kashuk
Dec 1, 2010·Neuroscience and Biobehavioral Reviews·William Pettersson-YeoAndrea Mechelli
Mar 2, 2011·Seminars in Interventional Radiology·Hamed Aryafar, Thomas B Kinney
Aug 9, 2011·Journal of Vascular Surgery·Antonios P GasparisApostolos Tassiopoulos
Sep 6, 2011·Journal of Vascular and Interventional Radiology : JVIR·Drew M CaplinUNKNOWN Society of Interventional Radiology Standards of Practice Committee
Sep 24, 2011·International Journal of Inflammation·Arthur J Chu
Oct 26, 2011·Journal of Vascular and Interventional Radiology : JVIR·Luis F AngelJohn Kaufman
Aug 15, 2012·Critical Care Medicine·Chad M ThorsonKenneth G Proctor
Sep 5, 2012·ANZ Journal of Surgery·Lachlan M BattySusan M Liew
Dec 26, 2013·The Journal of Trauma and Acute Care Surgery·Jesse BandleUNKNOWN CLOTT Study Group
Jan 1, 2013·ISRN Radiology·Han Ni, Lei Lei Win
Jul 6, 2014·The American Journal of Medicine·Farhad AbtahianIdo Weinberg
Aug 15, 2014·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Jeanine M WalengaJawed Fareed
Nov 5, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Kevin P CohoonIan R McPhail
Jun 2, 2016·Seminars in Interventional Radiology·Elliot DeYoung, Jeet Minocha
Dec 13, 2016·British Journal of Anaesthesia·J W Simmons, M F Powell
May 12, 2017·JAMA Surgery·Alan D CookFrederick B Rogers
Jul 12, 2017·The Journal of Trauma and Acute Care Surgery·Jan-Michael Van GentSteven R Shackford

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