Objectives: to present an interventional radiology standard of practice on the use of inferior vena cava filters (IVCFs) in patients with or at risk to develop venous thromboembolism (VTE) from the Iberoamerican Interventional Society (SIDI) and Spanish Vascular and Interventional Radiology Society (SERVEI). Methods: a group of twenty-two interventional radiologist experts, from the SIDI and SERVEI societies, attended online meetings to develop a current clinical practice guideline on the proper indication for the placement and retrieval of IVCFs. A broad review was undertaken to determine the participation of interventional radiologists in the current guidelines and a consensus on inferior vena cava filters. Twenty-two experts from both societies worked on a common draft and received a questionnaire where they had to assess, for IVCF placement, the absolute, relative, and prophylactic indications. The experts voted on the different indications and reasoned their decision. Results: a total of two-hundred-thirty-three articles were reviewed. Interventional radiologists participated in the development of just two of the eight guidelines. The threshold for inclusion was 100% agreement. Three absolute and four relative indications for the IVCF placement were identified. No indications for the prophylactic filter placement reached the threshold. Conclusion: interventional radiologists are highly involved in the management of IVCFs but have limited participation in the development of multidisciplinary clinical practice guidelines.

A 2‐year 10‐month‐old French bulldog presented with a history of intermittent yelping episodes and low head carriage. Examination revealed cervical hyperaesthesia and grade I brachycephalic obstructive airway syndrome. Magnetic resonance imaging and computed tomography of the cervical vertebral column demonstrated a malformation of the atlas and atlantoaxial subluxation causing spinal cord compression. Ventral atlantoaxial stabilisation was performed, aided by three‐dimensional printed, patient‐specific drill guides, bicortical bone screws and polymethylmethacrylate. Four months later, the patient re‐presented being pain free but for deterioration of upper respiratory noise, distress and exercise intolerance. Grade III brachycephalic obstructive airway syndrome was evident on examination. Assessment of the post‐stabilisation computed tomography images and recent radiographs suggested that the rapid progression of brachycephalic obstructive airway syndrome had been caused by the stabilisation construct causing further narrowing of the nasopharynx by ventral and rostral displacement of the dorsocaudal nasopharyngeal wall. A folded flap palatoplasty was performed leading to excellent short‐ and long‐term outcome.