Efficacy of Prophylactic Placement of Inferior Vena Cava Filter in Patients Undergoing Spinal Surgery

Öztürk, Çağatay; Ganiyusufoglu, Kursat; Alanay, Ahmet; Aydoğan, Mehmet; Onat, Levent; Hamzaoğlu, Azmi

doi:10.1097/brs.0b013e3181e91dad

Cited by 32 publications

(21 citation statements)

References 10 publications

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“…In the same study VCF indications were limited to hypercoagulability, prolonged immobilization, staged procedures of longer than 5 segment levels, combined anterior-posterior approaches, iliocaval manipulation during exposure, and anesthetic time of more than 8 hours excluding the patients with a history of DVT or PE. Ozturk et al reported a significant decrease in PE risk in their study on 129 patients with similar characteristics (24). In the literature, there are case series, performed on a lower number of patients, pointing to the use of vena cava filters in patients subjected to complex spinal surgery as a safe and effective method in preventing PE (8,20,28).…”

Section: Akmangit I Et Al: Vena Cava Filter Versus Low Molecular Weimentioning

confidence: 98%

“…Pharmacological agents might result in catastrophic complications in the peri-and postoperative period and their use is therefore not considered to be beneficial (1,6,7,23,18,19). Although absolute and relative indications of vena cava filters are still debatable, their prophylactic use in patients with neurosurgical problems has not been reported thoroughly in the literature (8,10,20,22,24,26,28).…”

Section: Introductionmentioning

confidence: 99%

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Vena cava filters are not superior to low molecular weight heparin in venous thromboembolism prophylaxis: a study on long term immobilized neurosurgical patients

Akmangit¹,

Dağlıoğlu²,

Uyanık³

et al. 2014

Turkish Neurosurgery

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AIm: Deep venous thrombosis (DVT) and pulmonary embolism (PE) are the most frequent surgical problems and associated with high morbidity and mortality. Neurosurgical patients constitute a unique group where prophylaxis with anticoagulant and antiaggregant agents are relatively contraindicated due to the natural course of vascular problems such as aneurysms, hemorrhagic tumors or hematomas or increased vulnerability to complex spinal surgeries and trauma. mAterIAl and methOds: We included 67 patients predicted to be immobilized for 2 or more months in this retrospective analysis. A vena cava filter was inserted between the first and seventh postoperative day in 40 patients in a prophylactic manner whereas 27 patients received low dose heparin for the same purpose. The patients were evaluated for symptomatic DVT or PE.results: Percutaneous insertion was performed for all filters without any complication. DVT occurred in two patients of the filter group and 1 patient of the heparin group. There was no PE recorded in any patient of either group. Patients were followed up for 22 months in the filter and 16 months in the heparin group. COnClusIOn:We conclude that prophylactic filter use in high risk neurosurgical patients is not beneficial and not superior to low-molecularweight heparin use. Nevertheless, it is reasonable to prevent PE in patients with proven DVT who have no contraindication for anticoagulant drugs.KeywOrds: Deep venous thrombosis, Venous thromboembolism, Vena cava filter, Low molecular weight heparin, Pulmoner embolism prophylaxis, Neurosurgical patients ÖZ AmAÇ: Derin ven trombozu ve pulmoner embolizm yüksek morbidite ve mortaliteyle seyreden en sık cerrahi problemler arasında yer alır. Anevrizma gibi vasküler problemler, hemorajik tümörler, hematom, kompleks spinal cerrahi ve travma gibi nöroşirürjiye ait hastalıklar antiagregan ve antikoagülan tedavinin göreceli olarak kontrendike olduğu özel bir grubu oluşturmaktadır. yÖntem ve GereÇler: Bu retrospektif çalışmada, 2 ay veya daha uzun süre immobilize olması beklenen 67 hastanın analizi yapılmıştır. Vena kava filtreleri 40 hastada postoperatif bir ile yedinci günde proflaktik amaçla yerleştirildi. 27 hastada ise aynı amaçla düşük moleküler ağırlıklı heparin kullanıldı. Hastalar yattıkları süreçte ve izlemde semptomatik derin ven trombozu (DVT) ve pulmoner emboli (PE) açısından takip edildi.BulGulAr: Bütün filtreler perkütan yolla yerleştirildi ve işleme ait herhangi bir komplikasyon gelişmedi. Filtre grubunda 2, heparin grubunda 1 hastada DVT gelişti. Her iki grupta PE saptanmadı. Hastalar filtre grubunda ortalama 22 ay, heparin grubunda 16 ay süreyle takip edildi. sOnuÇ: Yüksek riskli nöroşirürji hastalarında prolaktik filtre kullanımının düşük moleküler ağırlıklı heparin kullanımına üstün olmadığı düşünüldü. Buna rağmen DVT'si kanıtlanmış ve antikoagülan ilaçların kontrendike olduğu durumlarda PE'yi önlemede etkin olduğu açıktır.

show abstract

Section: Akmangit I Et Al: Vena Cava Filter Versus Low Molecular Weimentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Vena cava filters are not superior to low molecular weight heparin in venous thromboembolism prophylaxis: a study on long term immobilized neurosurgical patients

Akmangit¹,

Dağlıoğlu²,

Uyanık³

et al. 2014

Turkish Neurosurgery

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show abstract

“…Gerlach et al 13 found that the risk of epidural haematoma was nearly eightfold greater than the risk of PE. Ozturk et al 14 have emphasised the importance of spinal surgeons carefully assessing the risk of using chemoprophylaxis for VTE prevention, and Sansome et al 15 have concluded that the risk of VTE in spinal surgery is low, and, therefore, the risks of pharmacological prophylaxis outweigh its benefits. In this study, haematoma…”

Section: Discussionmentioning

confidence: 99%

Case series of elective instrumented posterior lumbar spinal fusions demonstrating a low incidence of venous thromboembolism

Weber

Seal

McGirr

et al. 2014

ANZ Journal of Surgery

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“…Because of her high risk of VTE recurrence, we elected to place a temporary IVC filter for perioperative VTE protection. [11][12][13] Safety and timing of filter retrieval has been an area of growing concern in the medical literature. A wide array of pathophysiological and social obstacles are faced by physicians in these cases, negatively impacting filter retrieval rates.…”

Section: Discussionmentioning

confidence: 99%

Robotic-Assisted Inferior Vena Cava Filter Retrieval

Owji

Loh

et al. 2017

Methodist DeBakey Cardiovascular Journal

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Efficacy of Prophylactic Placement of Inferior Vena Cava Filter in Patients Undergoing Spinal Surgery

Abstract: Prophylactic IVCF is effective and safe in prevention of pulmonary embolism in patients with risk factors for PE.

Cited by 32 publications

References 10 publications

Vena cava filters are not superior to low molecular weight heparin in venous thromboembolism prophylaxis: a study on long term immobilized neurosurgical patients

Vena cava filters are not superior to low molecular weight heparin in venous thromboembolism prophylaxis: a study on long term immobilized neurosurgical patients

Case series of elective instrumented posterior lumbar spinal fusions demonstrating a low incidence of venous thromboembolism

Robotic-Assisted Inferior Vena Cava Filter Retrieval

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