Improving the Tracking and Removal of Retrievable Inferior Vena Cava Filters

Goei, Anthony D; Josephs, Shellie C.; Kinney, Thomas B.; Ray, Charles E.; Sacks, David

doi:10.1055/s-0031-1273946

Cited by 18 publications

(12 citation statements)

References 18 publications

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“…A comprehensive follow-up program that tracks patients, assigns an individual dedicated to monitoring the program and educates physicians and patients is effective in minimizing loss to follow-up and improving retrieval rates. 61 …”

Section: Prophylactic Inferior Vena Cava Filtersmentioning

confidence: 99%

Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document

Rappold

Sheppard

Carmichael

et al. 2021

Trauma Surg Acute Care Open

104

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Venous thromboembolism (VTE) is a potential sequela of injury, surgery, and critical illness. Patients in the Trauma Intensive Care Unit are at risk for this condition, prompting daily discussions during patient care rounds and routine use of mechanical and/or pharmacologic prophylaxis measures. While VTE rightfully garners much attention in clinical patient care and in the medical literature, optimal strategies for VTE prevention are still evolving. Furthermore, trauma and surgical patients often have real or perceived contraindications to prophylaxis that affect the timing of preventive measures and the consistency with which they can be applied. In this Clinical Consensus Document, the American Association for the Surgery of Trauma Critical Care Committee addresses several practical clinical questions pertaining to specific or unique aspects of VTE prophylaxis in critically ill and injured patients.

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Section: Prophylactic Inferior Vena Cava Filtersmentioning

confidence: 99%

Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document

Rappold

Sheppard

Carmichael

et al. 2021

Trauma Surg Acute Care Open

104

View full text Add to dashboard Cite

show abstract

“…Other authors have described other schemes to improve the follow-up care for patients with retrievable devices. 48 Underlying the importance of expeditious retrievable filter tracking is the time-sensitive likelihood of removal. According to Angel et al, technically successful filter removal was achieved with the following rates: 99% at 1 month after placement, 94% at 3 months, and 37% at 12 months.…”

Section: Improving Filter Retrievalmentioning

confidence: 99%

Inferior Vena Cava Filtration in the Management of Venous Thromboembolism: Filtering the Data

Molvar

2012

Semin intervent Radiol

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Venous thromboembolism (VTE) is a common cause of morbidity and mortality. This is especially true for hospitalized patients. Pulmonary embolism (PE) is the leading preventable cause of in-hospital mortality. The preferred method of both treatment and prophylaxis for VTE is anticoagulation. However, in a subset of patients, anticoagulation therapy is contraindicated or ineffective, and these patients often receive an inferior vena cava (IVC) filter. The sole purpose of an IVC filter is prevention of clinically significant PE. IVC filter usage has increased every year, most recently due to the availability of retrievable devices and a relaxation of thresholds for placement. Much of this recent growth has occurred in the trauma patient population given the high potential for VTE and frequent contraindication to anticoagulation. Retrievable filters, which strive to offer the benefits of permanent filters without time-sensitive complications, come with a new set of challenges including methods for filter follow-up and retrieval.

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“…6 At the present time, there is no reported consensus to establish routine surveillance guidelines of IVC filters; however, there are guidelines encouraging IVC device retrievals when the duration of treatment for a DVT/PE has been met or when the risk of a PE is no longer high, and/or the contraindication for anticoagulation is no longer a consideration. 7 In this case, the noninvasive renal artery duplex examination played a critical role in her clinical outcome. The use of non-invasive ultrasound for diagnosis of vascular stenoses cannot be underrated as this case clearly demonstrates.…”

Section: Discussionmentioning

confidence: 83%

Renal artery stenosis on duplex ultrasound due to inferior vena cava filter leg impingement

Hannon

2014

Ultrasound

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We present a case study of renal artery duplex findings for new onset of hypertension in a young woman with a history of inferior vena cava filter placed a year prior and failed percutaneous retrieval. Duplex ultrasound showed significantly elevated velocities in the mid-right renal artery, consistent with renal artery stenosis. Computed tomography angiography images suggested that a leg from the inferior vena cava filter was impinging on her right renal artery, with perforation through the vena cava possibly into the wall of her duodenum. Open surgical intervention was required to disentangle the filter legs from the wall of the duodenum and relieve impingement on the right renal artery with thrombolysis of clot found within the right renal artery.

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Improving the Tracking and Removal of Retrievable Inferior Vena Cava Filters

Cited by 18 publications

References 18 publications

Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document

Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document

Inferior Vena Cava Filtration in the Management of Venous Thromboembolism: Filtering the Data

Renal artery stenosis on duplex ultrasound due to inferior vena cava filter leg impingement

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