Indications, management, and complications of temporary inferior vena cava filters

Linsenmaier, Ulrich; Rieger, Johannes; Schenk, Franz; Rock, C.; Mangel, E.; Pfeifer, Klaus

doi:10.1007/s002709900305

Cited by 105 publications

(50 citation statements)

References 23 publications

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“…Some investigators have reported the incidence of PTE during tIVCF placement as being between 0% 14,15) and ~ 4%. 16) Taking these reports and our results into consideration, tIVCF appears to have the ability to prevent PTE in patients with DVT.…”

Section: Discussionmentioning

confidence: 94%

The Effect of a Temporary Inferior Vena Cava Filter in the Treatment of Deep Vein Thrombosis in Critically-Ill Patients

et al. 2008

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SUMMARYWe studied the clinical courses of patients with deep vein thrombus (DVT) who underwent insertion of temporary inferior vena cava filters (tIVCF) and evaluated the effectiveness of the tIVCF.From January 2003 to March 2008, tIVCF were placed in 12 patients with a diagnosis of DVT in the Intensive Care Unit (ICU) of Gunma University Hospital. The mean age of the patients was 52 ± 16 years (range, 18-82). Eight were medical patients who had not undergone any prior surgery, and 4 were postoperative patients, including 3 with a malignancy. The diagnosis of DVT was made using enhanced computed tomography. The Toray Neuhaus Protect catheter (6Fr, Toray Medical, Tokyo) was used as a tIVCF in all 12 patients. We evaluated the clinical course of the patients before and after placement of a tIVCF and studied their prognosis.DVT occurred on 15 ± 9 days after surgery or admission to hospital. Pulmonary thromboembolism (PTE) was detected in 7 patients prior to the placement of a tIVCF, 3 of whom required cardiopulmonary resuscitation. The mean duration of tIVCF placement was 18 ± 9 days; no episodes of PTE occurred after tIVCF placement. DVT completely or almost completely disappeared during the period of tIVCF placement; subsequently, tIVCFs were successfully removed in 10 patients (83%). A permanent IVCF was placed in only 1 patient, and the tIVCF was removed in the remaining patient because of suspected catheter infection. There were 2 complications related to tIVCF placement: infection at the insertion site and suspected catheter infection. tIVCF placement could prevent the occurrence of PTE without provoking life-threatening complications. The results suggest that tIVCF is useful in the prevention of PTE in patients with DVT. (Int Heart J 2008; 49: 713-721)

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Section: Discussionmentioning

confidence: 94%

The Effect of a Temporary Inferior Vena Cava Filter in the Treatment of Deep Vein Thrombosis in Critically-Ill Patients

et al. 2008

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“…Filter malposition or tilting is another important early complication that can reduce the effectiveness of the device to catch thrombi and predispose to recurrent PE (10). Other rare early complications include failure of the filter to open, vessel penetration, air embolism, and sheath kinking (11)(12)(13). Late complications are uncommon but include recurrent PE, caval thrombosis, filter migration, and filter fracture (1,3,14,15).…”

Section: Discussionmentioning

confidence: 97%

Penetration of Günther Tulip Filter Struts through an Introducer Sheath: Case Report and Safety Concerns

Contractor¹,

Merkulov²,

Bhatti³

et al. 2009

Journal of Vascular and Interventional Radiology

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“…3,5,7,8 The frequency of fi lter thrombosis and IVC occlusion have been reported in 3.5% to 17.5% of patients. 5 The hypercoagulation state in the malignant disease has been reported to be a predisposing factor for caval occlusion within the fi rst year after fi lter placement. 9,10 In our case, lower extremity venous thrombosis developed and occluded the t-IVC-f in spite of the anticoagulation therapy or thrombolytic therapy.…”

Section: Discussionmentioning

confidence: 98%

“…Such cases include the following: (1) acute PTE during anticoagulation therapy; (2) PTE or DVT with transient contraindications against anticoagulant therapy; (3) prophylactic fi lter insertion in patients with DVT or PTE to prevent PTE during thrombectomy or thrombolytic therapy. [3][4][5][6] Temporary-IVC-f complications such as fi lter dislocation, inferior vena cava (IVC) perforation, fi lter thrombosis, and IVC occlusion have also been reported. 3,5,7,8 The frequency of fi lter thrombosis and IVC occlusion have been reported in 3.5% to 17.5% of patients.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6] Temporary-IVC-f complications such as fi lter dislocation, inferior vena cava (IVC) perforation, fi lter thrombosis, and IVC occlusion have also been reported. 3,5,7,8 The frequency of fi lter thrombosis and IVC occlusion have been reported in 3.5% to 17.5% of patients. 5 The hypercoagulation state in the malignant disease has been reported to be a predisposing factor for caval occlusion within the fi rst year after fi lter placement.…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary and Deep Vein Thrombosis in a Young Patient with Protein S Deficiency: Report of a Case

et al. 2007

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A 27-year-old man, who was diagnosed as having familial protein S deficiency, developed deep vein thrombosis complicated with pulmonary thromboembolism. Anticoagulant therapy and thrombolytic therapy were commenced after the insertion of a temporary inferior vena cava filter (t-IVC-f). However, on day 5 after t-IVC-f insertion, IVC venography showed filter thrombosis. On day 13, we made a venotomy and removed the captured thrombi and inserted a permanent IVC-f. After removal of the t-IVC-f via the right brachial vein, thrombi that had not been seen earlier appeared in the right atrium (RA). It was suspected that the thrombi around the catheter had likely been stripped off during the catheter removal procedure. After the abdomen was closed, an extra operation was immediately performed. Under complete extracorporeal circulation, the RA was opened and the all thrombi were removed. The patient recovered well and was discharged on the 21st postoperative day without any complications.

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Indications, management, and complications of temporary inferior vena cava filters

Abstract: Temporary filters are effective in trapping clots and protecting against PE, and the complication rate does not exceed that of permanent filters. They are an alternative when protection from PE is required temporarily, and should be considered in patients with a normal life expectancy.

Cited by 105 publications

References 23 publications

The Effect of a Temporary Inferior Vena Cava Filter in the Treatment of Deep Vein Thrombosis in Critically-Ill Patients

The Effect of a Temporary Inferior Vena Cava Filter in the Treatment of Deep Vein Thrombosis in Critically-Ill Patients

Penetration of Günther Tulip Filter Struts through an Introducer Sheath: Case Report and Safety Concerns

Pulmonary and Deep Vein Thrombosis in a Young Patient with Protein S Deficiency: Report of a Case

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