Inferior vena cava filters do not increase the risk of blood stream infections in patients with newly diagnosed VTE

Chua, Abigail; Murphy, Charles; Hameed, Shahistha; Weston, Gregory; Abramowitz, Matthew K.; Gershengorn, Hayley B.; Fein, Daniel G.

doi:10.1016/j.ajic.2020.05.029

Cited by 1 publication

(2 citation statements)

References 36 publications

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“…Moreover, even in the cases when IVC filters are indicated and beneficial, it is important to note that the longer they remain indwelling, the more complications begin to accumulate. A majority of research concurs that there is positive correlation between indwelling time and complication rate, so it's important to keep in mind the relatively high rate of retrievable filters that are not retrieved [12,25,26,37,39,43,44,[121][122][123][124][125][126][127][128][129][130][131][132][133][134]. Finally, as has been mentioned in many studies regarding IVC filters, there remains a need for randomized control trials to determine their efficacy, particularly in regard to some of the expanding indications included in this review.…”

Section: Discussionmentioning

confidence: 99%

“…Chua et al compared the likelihood of bloodstream infection in patients with VTE in whom an IVC filter had been inserted versus patients without. Although the authors hypothesized that IVC filter implantation would coincide with higher risk for bloodstream infection, multivariable regression modeling showed no increase within one year post-VTE diagnosis in patients with IVC filters (10.7% vs 8.8%; P=0.12) [ 133 ].…”

Section: Reviewmentioning

confidence: 99%

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Inferior Vena Cava Filters and Complications: A Systematic Review

Bajda,

Park,

Raj

et al. 2023

Cureus

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Inferior vena cava (IVC) filters have been used since the 1960s to treat patients with acute risk of pulmonary embolism (PE) to prevent migration of thrombus by trapping it within the filter. Traditional usage has been in patients with contraindication to anticoagulation that carry a significant mortality risk. In this systematic review, we sought to evaluate complications associated with placement of inferior vena cava filters based on published data from the past 20 years. A search was performed on October 6th, 2022, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews, using three databases (ProQuest, PubMed and ScienceDirect) for articles published between the dates of February 1, 2002 and October 1, 2022. Results were filtered to include full-text, clinical studies, and randomized trials written in English pertaining to keywords “IVC filter AND complications”, “Inferior Vena Cava Filter AND complications”, “IVC filter AND thrombosis” and “Inferior Vena Cava Filter AND thrombosis”. Articles identified by the three databases were pooled and further screened for relevance based on inclusion and exclusion criteria. Initial search results yielded 33,265 hits from all three databases combined. Screening criteria were applied, with 7721 results remaining. After further manual screening, including removal of duplicate hits, a total of 117 articles were selected for review. While there are no consensus guidelines for best practice, there is compelling evidence that IVC filters can provide significant protection against PE with minimal complications if the treatment window is appropriate. Increase in the variety of filter models has led to broader availability, but skepticism remains about their efficacy and safety, with ongoing controversy surrounding appropriate indications. Further research is needed to establish clear guidelines on appropriate indications for IVC placement and to determine time course of complications versus benefits for indwelling filters.

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