Current Controversies in Inferior Vena Cava Filter Placement: <i>AJR</i> Expert Panel Narrative Review

Kesselman, Andrew; Oo, Thein Hlaing; Johnson, Matthew S.; Stecker, Michael S.; Kaufman, John A.; Trost, David

doi:10.2214/ajr.20.24817

Cited by 11 publications

(4 citation statements)

References 55 publications

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“…Ideally, the filter should be inserted without any filter tilt. 6,11 However, the changes in IVC filter tilt during the time of placement and retrieval, as well as the factors for increased filter tilt, have not been fully elucidated. In this retrospective cohort study, using data from a multi-center RCT, we compared the IVC filter tilt degree and change according to the vascular access of IJV and FVs.…”

Section: Discussionmentioning

confidence: 99%

Relationship between vascular access and angulation of vena cava filter at placement and retrieval: a multicenter retrospective cohort study

Gong,

Jiang,

Zhao

et al. 2023

Therapeutic Advances in Chronic Disease

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Background: Inferior vena cava (IVC) filters are commonly used intravascular devices designed to prevent fatal pulmonary embolism (PE), maintaining the IVC filter as centered as possible is fundamental for achieving its filtration function. Objective: This study aimed to characterize the tilt angles of IVC filter between the vascular access of internal jugular vein (IJV) and femoral vein (FV), as well as to identify factors associated with increased or decreased tilt angles between placement and retrieval. Design: This is a multicenter retrospective study. Methods: A multicenter retrospective study was conducted from October 2017 to March 2019. The primary outcome was the change in filter tilt between placement and retrieval. The secondary outcome was the identifications of factors associated with increased or decreased tilt angle. Relevant variables were analyzed using t-tests, Chi-square tests, Fisher’s exact tests, while multivariate logistic regression analysis was used to determine risk factors. Results: A total of 184 eligible patients were included in this study. The IJV group had a lower likelihood of tilt angle over 10° at the time of placement compared to the FVs group (0% versus 12.5%, p = 0.040). Among the 171 patients with a mean dwell time of 22.1 days, the IJV group had a higher likelihood of tilt angle over 10° than the FVs group (10.3% versus 2.3%, p = 0.080). The use of FVs access at placement was associated with a higher difference between placement and retrieval filter tilt angles ( p < 0.01). Multivariate logistic regression analysis showed that hypertension [odds ratio (OR) 0.668; 95% confidence interval (CI) 0.328–1.358, p = 0.265], cardiologic artery disease (OR 0.537; 95% CI 0.136–2.130, p = 0.377), cerebral venous disease (OR 0.555; 95% CI 0.186–1.651, p = 0.290), filter types (OR 1.624; 95% CI 0.851–3.096, p = 0.141), and IVC filter thrombosis (OR 1.634; 95% CI 0.804–3.323, p = 0.175) were not associated with increased filter tilt angle. Right side (OR 0.434; 95% CI 0.202–0.930, p = 0.032) or bilateral lower extremity deep vein thrombosis (LEDVT) (OR 0.383; 95% CI 0.148–0.995, p = 0.049) were identified as protective factors. Conclusion: IJV access was associated with a lower filter tilt angle at the time of placement, while FVs access was linked to a higher difference between placement and retrieval tilt angles. Right side or bilateral LEDVT were identified as protective factors against increased IVC filter tilt angle.

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Section: Discussionmentioning

confidence: 99%

Relationship between vascular access and angulation of vena cava filter at placement and retrieval: a multicenter retrospective cohort study

Gong,

Jiang,

Zhao

et al. 2023

Therapeutic Advances in Chronic Disease

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show abstract

“…The retrieval process for the embolized struts can be made more often through endovascular snares, balloon techniques, endobronchial forceps or excimer laser sheath; the last one has rates of successful filter retrieval rates up to 99%. 11 …”

Section: Discussionmentioning

confidence: 99%

Inferior vena cava filter misplacement with SVC perforation

Rodríguez

Lopera

2023

Journal of Interventional Medicine

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“…The retrievable filter greatly reduces the complication of long-term filter implantation, even though two operations under DSA guidance are needed. 19 , 20 …”

Section: Precise Selection and Application Of Drugs Materials And Dev...mentioning

confidence: 99%

Precision interventional radiology

Fang

Chen

et al. 2021

Journal of Interventional Medicine

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Current Controversies in Inferior Vena Cava Filter Placement: AJR Expert Panel Narrative Review

Cited by 11 publications

References 55 publications

Relationship between vascular access and angulation of vena cava filter at placement and retrieval: a multicenter retrospective cohort study

Relationship between vascular access and angulation of vena cava filter at placement and retrieval: a multicenter retrospective cohort study

Inferior vena cava filter misplacement with SVC perforation

Precision interventional radiology

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