Effect of scheduling inferior vena cava filter removal during the placement encounter on filter removal rate

Kallini, Joseph R.; Steinberger, Jonathan D.; Lipshutz, Herbert; Friedman, Marc L.; Allan, Richard J. Van

doi:10.1016/j.jvsv.2020.09.004

Cited by 4 publications

(5 citation statements)

References 25 publications

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“…To prevent these potentially fatal complications in patients who have chronic retrievable IVC filters, it is strongly advised that they maintain ongoing care, have an electronic communication follow-up method with their healthcare providers, and have the filters removed when clinically appropriate [21][22][23][24]. Research has indicated that the probability of successful IVC filter removal rates is substantially impacted by whether or not the removal is scheduled during the placement encounter [25].…”

Section: Discussionmentioning

confidence: 99%

Complications Associated With Inferior Vena Cava Filter Retrieval: A Systematic Review

Rodriguez,

Goel,

Gorantla

2024

Cureus

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Inferior vena cava (IVC) filters have been used successfully in high-risk patients to prevent thromboembolism. The filters are widely created as retrievable devices, but complication rates progressively increase during IVC filter retrieval. This study aims to analyze IVC filter retrieval cases and associated complications during and following the procedures regarding dwell times, specific filter types, filter positioning, and advanced retrieval techniques. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to select and analyze relevant articles. A literature search for articles was performed on September 23, 2023, through three research databases: PubMed, ProQuest, and ScienceDirect. The keywords used to identify relevant publications were “IVC Filter retrieval AND complications” and “IVC filter removal AND complications”. The articles before 2012 were excluded. Relevant articles were selected based on the inclusion and exclusion criteria. In total, 20,435 articles were found: 812 from PubMed, 15,635 from ProQuest, and 3,988 from Science Direct. Among the exclusions were 18,462 articles, which were excluded in the automatic screening process, leaving 1,973 for manual screening. The manual screening of articles was conducted based on title, abstract, article type, duplicates, and case reports, where 1,918 articles were excluded. Ultimately, 55 articles were included in this review. This study demonstrates that IVC filter retrievals have significant complication rates. Many complications have a common theme: prolonged dwell time and lost follow-up appointments. Therefore, importance should be placed on patient education and implementing strict protocols regarding the timelines of IVC filter removals.

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Section: Discussionmentioning

confidence: 99%

Complications Associated With Inferior Vena Cava Filter Retrieval: A Systematic Review

Rodriguez,

Goel,

Gorantla

2024

Cureus

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“…Prior studies have demonstrated improved retrieval rates with the institution of a dedicated filter follow-up clinic, which assumes an active surveillance burden on the implanting physician team . While previous studies have focused on the initial implementation of a single filter retrieval follow-up process, this study compares 2 different follow-up methods at the same institution. The more active surveillance method places greater responsibility on the implanting team to both follow patients with filters and enables them to make clinical decisions regarding whether or not the filter should be retrieved.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Tested passive surveillance methods include routine medical record review with letters sent to patients who qualify for IVC filter retrieval, 5 reminders that filters should be retrieved promptly in the IVC filter implantation report along with a reminder to the referring clinician, 6 and prescheduling filter retrieval at the time of implantation. 7 Active surveillance methods shown to increase filter retrieval include the dedication of multidisciplinary tracking teams with a routine clinic or phone follow up 8 and the institution of a clinic to facilitate periodic assessment for device retrieval. 9,10 Federal communications imply shared responsibility between implanting physicians and referring clinicians for device surveillance.…”

Section: Introductionmentioning

confidence: 99%

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Inferior Vena Cava Filter Retrieval Rates Associated With Passive and Active Surveillance Strategies Adopted by Implanting Physicians

et al. 2023

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ImportanceInferior vena cava filters are commonly implanted and infrequently retrieved. Nonretrieval contributes to significant morbidity, motivating US Food and Drug Administration and multisociety communications emphasizing the need for improved device surveillance. Current guidelines suggest that implanting physicians and referring physicians should be responsible for device follow-up, but it is not known whether shared responsibility contributes to lower retrieval.ObjectiveTo determine if primary responsibility for follow-up care assumed by the implanting physician team is associated with increased device retrieval.Design, Setting, and ParticipantsThis retrospective cohort study examined a prospectively collected registry of patients with inferior vena cava filters implanted from June 2011 to September 2019. Medical record review and data analysis was completed in 2021. The study included 699 patients who underwent implantation of retrievable inferior vena cava filters at an academic quaternary care center.ExposuresPrior to 2016, implanting physicians had a passive surveillance strategy whereby letters highlighting indications for and the need for timely retrieval were mailed to patients and ordering clinicians. Starting in 2016, implanting physicians assumed active responsibility for surveillance, whereby candidacy for device retrieval was assessed periodically via phone calls and retrieval scheduled when appropriate.Main Outcomes and MeasuresThe main outcome was the odds of inferior vena cava filter nonretrieval. Within regression modeling of the association between the surveillance method and nonretrieval, additional covariates of patient demographics, concomitant malignant neoplasm, and presence of thromboembolic disease were included.ResultsOf the 699 patients who received retrievable filter implants, 386 (55.2%) were followed up with passive surveillance, 313 (44.8%) with active surveillance, 346 (49.5%) were female, 100 (14.3%) were Black individuals, and 502 (71.8%) were White individuals. The mean (SD) age at filter implantation was 57.1 (16.0) years. Mean (SD) yearly filter retrieval increased following the adoption of active surveillance, from 190 of 386 (48.7%) to 192 of 313 (61.3%) (P &lt; .001). Fewer filters were deemed permanent in the active group vs passive group (5 of 313 [1.6%] vs 47 of 386 [12.2%]; P &lt; .001). Age at the time of implantation (OR, 1.02; 95% CI, 1.01-1.03), concomitant malignant neoplasm (OR, 2.18; 95% CI, 1.47-3.24), and passive contact method (OR, 1.70; 95% CI, 1.18-2.47) were associated with increased odds of filter nonretrieval.Conclusions and RelevanceThe findings of this cohort study suggest that active surveillance by implanting physicians is associated with improved inferior vena cava filter retrieval. These findings support encouraging physicians who implant the filter to take primary responsibility for tracking and retrieval.

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“…Mohapatra et al published data of a large cohort of IVC filters and reported only 6.6% of 131,791 filters were successfully retrieved, while Everhart et al in another study described retrieval rates of approximately 16% of prophylactic filters and 5.69% of therapeutic filters (Mohapatra et al 2019;Everhart et al 2017). Recent recognition of poor retrieval rates and the development of online filter registries and other standardized methods of patient follow up at select institutions have shown significantly improved filter removal rates, up to 66% (Schuchardt et al 2019;Parsons et al 2019;Minocha et al 2010;Inagaki et al 2016;Wang et al 2016;Sutphin et al 2015;Kallini et al 2020).…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of inferior vena cava filter retrieval: a 5-year single center retrospective review from a tertiary care center

et al. 2022

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Background Inferior vena cava (IVC) filter retrieval is typically accomplished with standard snare technique. When this fails, more advanced techniques are necessary, especially when removal falls outside a 12-month window. Complications during filter retrieval depend heavily on technique, type of filter, and filter position. In this study we examined safety and efficacy of 536 filter retrievals at a tertiary care center and compared complication rates between standard snare and endobronchial forcep retrieval. Method We reviewed 536 cases between August 2015 and August 2020, recording retrieval success rates, patient comorbidities, and complication rates at the time of removal. Results Total overall retrieval success was 97.9% (525/536), and complications occurred in approximately 6.0% (32/536) of all cases. Success and complications with standard snare technique alone were 99.4% (345/347) and 1.7% (5 Grade I/II, 1 Grade III) and advanced forcep technique 98.8% (171/173) and 14.5% (22 Grade I/II, 2 Grade III, and 1 Grade IV), respectively. There was no significant difference between the technical success rates of the standard snare technique and forceps techniques (p = 0.60) despite a significantly longer dwell time in patients undergoing forceps retrieval (p < 0.001). Conclusion To our knowledge, this is the largest cohort of forceps directed IVC filter retrieval present in the literature. Rates of successful endobronchial forceps and standard snare retrievals in this study are similar to previous reports. Although use of endobronchial forceps may be associated with higher complication rates, this is likely due to prolonged dwell times, filter tilt, and attempted removal of non retrievable filters. Overall, forceps-directed retrieval offers a safe, effective means of removal in difficult cases. Level of evidence Level 3, Large Retrospective Study.

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Effect of scheduling inferior vena cava filter removal during the placement encounter on filter removal rate

Cited by 4 publications

References 25 publications

Complications Associated With Inferior Vena Cava Filter Retrieval: A Systematic Review

Complications Associated With Inferior Vena Cava Filter Retrieval: A Systematic Review

Inferior Vena Cava Filter Retrieval Rates Associated With Passive and Active Surveillance Strategies Adopted by Implanting Physicians

Safety and efficacy of inferior vena cava filter retrieval: a 5-year single center retrospective review from a tertiary care center

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