Contemporary Trends and Comparative Outcomes With Adjunctive Inferior Vena Cava Filter Placement in Patients Undergoing Catheter-Directed Thrombolysis for Deep Vein Thrombosis in the United States

Akhtar, Othman Salim; Lakhter, Vladimir; Zack, Chad J.; Hussain, Hafiz Amjad; Aggarwal, Vikas; Oliveros, Estefanía; Brailovsky, Yevgeniy; Zhao, Huaqing; Dhanisetty, Ravi; Charalel, Resmi A.; Zhao, Matthew; Bashir, Riyaz

doi:10.1016/j.jcin.2018.04.048

Cited by 21 publications

(9 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Limited ++** Summary of the evidence.-One randomized controlled trial and 2 observational studies met the inclusion criteria for this question (27)(28)(29).…”

Section: Strength Of Recommendationmentioning

confidence: 99%

“…Another-low quality retrospective cohort study (29) using the National Inpatient Sample database also found no significant differences in in-hospital mortality and complications such as gastrointestinal bleeding (0.7% vs 1.0%; P ¼ .20), procedure-related hemorrhage (1.4% vs 1.9%; P ¼ .17), and intracranial hemorrhage (0.7% vs 0.6%; P ¼ .70) between patients with and without an IVC filter who were undergoing catheter-directed thrombolysis. However, higher rates of hematoma formation (3.4% vs 2.1%; P ¼ .009) were found in the IVC filter group.…”

Section: Strength Of Recommendationmentioning

confidence: 99%

See 1 more Smart Citation

Society of Interventional Radiology Clinical Practice Guideline for Inferior Vena Cava Filters in the Treatment of Patients with Venous Thromboembolic Disease

Kaufman

Barnes

Chaer

et al. 2020

Journal of Vascular and Interventional Radiology

145

View full text Add to dashboard Cite

“…Limited ++** Summary of the evidence.-One randomized controlled trial and 2 observational studies met the inclusion criteria for this question (27)(28)(29).…”

Section: Strength Of Recommendationmentioning

confidence: 99%

Section: Strength Of Recommendationmentioning

confidence: 99%

Society of Interventional Radiology Clinical Practice Guideline for Inferior Vena Cava Filters in the Treatment of Patients with Venous Thromboembolic Disease

Kaufman

Barnes

Chaer

et al. 2020

Journal of Vascular and Interventional Radiology

145

View full text Add to dashboard Cite

“…There is still controversy over the need for an IVC filer during endovascular treatment for DVT, however, there have been several reports that this is necessary [ 11 - 14 ]. Nevertheless, there are often situations where the IVC filter cannot be inserted.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Thrombectomy with a Half-Deployed Stent for the Treatment of Acute Inferior Vena Cava Thrombosis

Jung

2020

VSI

View full text Add to dashboard Cite

Inferior vena cava (IVC) thrombosis, a type of deep vein thrombosis (DVT), is a relatively rare and poorly known disease compared to lower extremity DVT. We present a case of a 68-year-old woman with abdominal pain and mild lower leg swelling due to IVC thrombosis extending from the common iliac vein to the infrahepatic IVC. The thrombus was removed using a 14-mm Niti-S stent (Taewoong Medical, Korea) inserted via the right internal jugular vein. The stent was partially deployed and gently advanced to cover the thrombus, and then retracted through a vascular sheath capturing the thrombus. This case presents a therapeutic approach for the treatment of IVC thrombosis using a half-deployed stent as a filter and a basket. Follow-up evaluation after 5 years revealed a patent IVC and common iliac vein.

show abstract

“…Retrospective studies of CDT combined with IVCFs showed no difference in PE or mortality compared with CDT alone, but increased complications were noted in patients who had filters placed. 28,29 Conversely, the FILTER-PEVI RCT demonstrated that IVCFs lowered the incidence of immediate post-procedural symptomatic PE without mortality benefit compared with patients receiving anticoagulation alone. 30 The authors advised a selective approach to filter placement in those with specific predictors of PE.…”

Section: Other Extended Indicationsmentioning

confidence: 99%

Inferior vena cava filters: a framework for evidence-based use

Kelkar

Rajasekhar

2020

Hematology

View full text Add to dashboard Cite

Venous thromboembolism (VTE) is a common cause of morbidity and mortality. Although most patients can be managed safely with anticoagulation, inferior vena cava filters (IVCFs) represent an important alternative to anticoagulation in a small subset of patients. IVCF use has expanded exponentially with the advent of retrievable filters. Indications for IVCFs have liberalized despite limited evidence supporting this practice. Because indiscriminate use of IVCFs can be associated with net patient harm, knowledge of the risks and benefits of these devices is essential to optimal evidence-based practice. Patients with acute VTE and absolute contraindications to anticoagulation or major complications from anticoagulation are universally agreed indications for IVCFs. However, the reliance on IVCFs for primary VTE prophylaxis in high-risk patients is not substantiated by the available literature. This review examines trends in IVCF use, practice-based recommendations on IVCF use in various clinical scenarios, complications associated with indwelling IVCFs, and indications for IVCF retrieval.

show abstract

Contemporary Trends and Comparative Outcomes With Adjunctive Inferior Vena Cava Filter Placement in Patients Undergoing Catheter-Directed Thrombolysis for Deep Vein Thrombosis in the United States

Abstract: This nationwide observational study suggests that one-third of all patients undergoing CDT receive IVCFs. IVCF use was not associated with a decrease in in-hospital mortality but was associated with higher inpatient charges and longer length of stay.

Cited by 21 publications

References 27 publications

Society of Interventional Radiology Clinical Practice Guideline for Inferior Vena Cava Filters in the Treatment of Patients with Venous Thromboembolic Disease

Society of Interventional Radiology Clinical Practice Guideline for Inferior Vena Cava Filters in the Treatment of Patients with Venous Thromboembolic Disease

Percutaneous Thrombectomy with a Half-Deployed Stent for the Treatment of Acute Inferior Vena Cava Thrombosis

Inferior vena cava filters: a framework for evidence-based use

Contact Info

Product

Resources

About