Do inferior vena cava filters reduce the risk of acute pulmonary embolism in preoperative patients with venous thromboembolism?

Deguchi, Juno; Nagayoshi, M; Miyahara, Takuya; Nishikage, Seiji; Kimura, Hideo; Shigematsu, Kunihiro; Miyata, Tetsuro

doi:10.1007/s00595-008-4085-z

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…into the heart or pulmonary arteries), insertion-site thrombosis and IVC thrombosis [6]. A study by Deguchi et al similarly demonstrated that the addition of IVC filters to anticoagulant therapy did not significantly reduce the risks of perioperative patients with VTE prior to surgery [7]. It also described occurrences such as major filter migration, persistent attached thrombosis and connection failure.…”

Section: Discussionmentioning

confidence: 99%

Unexpected outcome from Trousseau syndrome

et al. 2011

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BackgroundUnprovoked superficial thrombophlebitis and subsequent venous thromboembolism are well-described albeit rare presenting features of advanced visceral malignancy that often manifest too late for curative intervention to be beneficial.Case PresentationWe present the first reported case of early gastric carcinoma presenting with these paraneoplastic phenomena in an otherwise healthy farmer. The early presentation allowed for a curative partial gastrectomy, which itself was complicated by the presence of a deep vein thrombosis extending into the inferior vena cava. Fortunately, stabilization of the clot allowed for surgery to proceed without the need for a caval filter. The patient was referred for adjuvant chemotherapy and has since made an excellent recovery.ConclusionsThis case provides new evidence for the presentation of superficial thrombophlebitis in early gastric carcinoma and the potential for curative surgery in such instances. A high index of suspicion and a prompt diagnostic workup are essential for timely planning and execution of surgery in these early albeit rare presentations.

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Section: Discussionmentioning

confidence: 99%

Unexpected outcome from Trousseau syndrome

et al. 2011

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“…The inferior vena cava fi lter (IVC fi lter) can prevent recurrent APTE. 19 Kucher et al reported 0% (0/11) recurrence of APTE within 90 days in patients with massive APTE, after placement of an IVC fi lter, versus 13% (13/97) in patients who did not receive an IVC fi lter. 15 Sakuma et al reported the same result in an analysis of a multicenter registry in Japan.…”

Section: Treatment Of Aptementioning

confidence: 95%

Embolectomy for acute pulmonary thromboembolism: From Trendelenburg’s procedure to the contemporary surgical approach

Fukuda

Taniguchi

2010

Surg Today

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Acute pulmonary thromboembolism (APTE) is a potentially catastrophic event after surgery. We reviewed the literature on surgical pulmonary embolectomy to elucidate its place in emergency management. Although pulmonary embolectomy is invasive, prompt removal of the emboli decreases the right ventricular load and promotes quick recovery of cardiopulmonary function. Conversely, fibrinolytic therapy places additional burden on patients at risk of potential hemorrhagic complication. Surgical embolectomy is an effective procedure with a low risk of hemorrhage because anticoagulant therapy is needed for only a short time.

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“…Use of an inferior vena cava (IVC) filter should be considered when a patient has contraindications to anticoagulation or a history of recurrent VTE on prophylaxis 823 . Although controversial, the utilization of IVC filters has increased over the years, especially with the advent of percutaneous insertion 866,867 . IVC filters in high-risk patients with an acute proximal DVT have been shown to initially prevent acute PE 868 , and can capture a thrombus in up to 13% of patients postoperatively 869 .…”

Section: - Should a Patient With Active Lower Extremity Dvt Undergo A...mentioning

confidence: 99%

Recommendations from the ICM-VTE: General

2022

Journal of Bone and Joint Surgery

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Do inferior vena cava filters reduce the risk of acute pulmonary embolism in preoperative patients with venous thromboembolism?

Abstract: This study suggested that the addition of IVCF to anticoagulants does not provide a substantial risk reduction for perioperative patients with VTE prior to surgery.

Cited by 6 publications

References 11 publications

Unexpected outcome from Trousseau syndrome

Unexpected outcome from Trousseau syndrome

Embolectomy for acute pulmonary thromboembolism: From Trendelenburg’s procedure to the contemporary surgical approach

Recommendations from the ICM-VTE: General

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