Acute Complications Associated with Greenfield Filter Insertion in High-Risk Trauma Patients

Abstract

Our data indicate that complications of GF insertion for prophylaxis against PE from DVT complicating trauma patients continue to be negligible. In addition, the incidence of insertion-site thrombosis may be lower than expected. Moreover, femoral AVF is a rare complication of this procedure.

Retrievable Vena Cava Filters for Preventing Pulmonary Embolism in Trauma Patients: A Cautionary Tale

“…[1][2][3][4] RFs offer a similar prophylactic benefit without the long-term risks of PFs, and multiple studies have demonstrated that RFs may be inserted and retrieved with low rates of significant complications. 12,[25][26][27][28] At our institution, the perceived change in the risk-tobenefit ratio of filter placement presented by the availability of a RF was associated with a threefold increase in our rate of filter placement in trauma patients. We found a higher rate of DVT in Group II.…”

“…4,5,17,20,22,25,30 -32 The 2.5% rate of major filter-related complications in the current study confirms the experience of other centers describing low complication rates from RF placement and retrieval. 12,[25][26][27][28] Although low complication rates and few long-term sequelae make RFs ideal in many regards, the extension of established indications for IVC filter placement in the trauma population should be based on evidence that more liberal filter placement may lead to a decrease in the rate of PE. The 0.2% rate of clinically detected PE in our trauma population was not reduced by our more aggressive IVC filter placement strategy.…”

Practice Patterns and Outcomes of Retrievable Vena Cava Filters in Trauma Patients: An AAST Multicenter Study

“…A subset analysis was performed of the 310 patients who had undergone R-IVCF placement for prophylactic indications, which included at least one of the following: lowerextremity fracture (123); closed head injury (113); pelvic fracture (108); need for spine operation (88); upper-extremity fracture (35); and solid organ abdominal injury (33). Ninetyfive (31%) had at least one lower-extremity venous duplex study performed after placement (45.6 Ϯ 53.2 days).…”

Retrievable inferior vena cava filters may be safely applied in gastric bypass surgery

“…IVC filters have been shown to prevent PE, but are associated with their own risks [7][8]. These include IVC erosion, perforation, migration, filter infection, filter occlusion, formation of thrombi proximal to the filter, insertion site trauma, and DVT [9][10][11]. The ideal intervention would be a temporary IVC filter that is removed perioperatively, once the patientÕs risk of VTE has diminished.…”