Preoperative Placement of Inferior Vena Cava Filters and Outcomes After Gastric Bypass Surgery

Birkmeyer, Nancy J. O.; Share, David; Başer, Onur; Carlin, Arthur M.; Finks, Jonathan F.; Pesta, Carl M.; Genaw, Jeffrey A.; Birkmeyer, John D.

doi:10.1097/sla.0b013e3181e61e4f

Cited by 98 publications

(51 citation statements)

References 29 publications

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“…20 For example, in a recent report of 6376 patients undergoing bariatric surgery, prophylactic IVC filters did not reduce postoperative VTE, but did appear to increase the risk of death and/or disability. 25 When IVC filters are necessary, retrievable filters are strongly recommended over permanent filters. ASH recommends that retrievable filters be removed as soon as the risk for PE has resolved and/or when anticoagulation can be safely resumed.…”

Section: Discussionmentioning

confidence: 99%

The ASH Choosing Wisely® campaign: five hematologic tests and treatments to question

Hicks

Bering

Carson

et al. 2013

Blood

157

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Choosing Wisely® is a medical stewardship and quality improvement initiative led by the American Board of Internal Medicine Foundation in collaboration with leading medical societies in the United States. The ASH is an active participant in the Choosing Wisely® project. Using an iterative process and an evidence-based method, ASH has identified 5 tests and treatments that in some circumstances are not well supported by evidence and which in certain cases involve a risk of adverse events and financial costs with low likelihood of benefit. The ASH Choosing Wisely® recommendations focus on avoiding liberal RBC transfusion, avoiding thrombophilia testing in adults in the setting of transient major thrombosis risk factors, avoiding inferior vena cava filter usage except in specified circumstances, avoiding the use of plasma or prothrombin complex concentrate in the nonemergent reversal of vitamin K antagonists, and limiting routine computed tomography surveillance after curative-intent treatment of non-Hodgkin lymphoma. We recommend that clinicians carefully consider anticipated benefits of the identified tests and treatments before performing them.

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Section: Discussionmentioning

confidence: 99%

The ASH Choosing Wisely® campaign: five hematologic tests and treatments to question

Hicks

Bering

Carson

et al. 2013

Blood

157

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“…Finally, VTE-related deaths are the most important outcomes to evaluate in patients getting IVC filters. Birkmeyer et al [15] suggested a higher rate of fatal PE among the groups who had a prophylactic IVC filter placement. Unfortunately, causes of death were not consistently reported in included studies; only Overby et al [12] reported one out of three deaths related to PE.…”

Section: Mortality Related To Prophylactic Ivc Filter Placement Beformentioning

confidence: 99%

Inferior vena cava filters and postoperative outcomes in patients undergoing bariatric surgery: a meta-analysis

Kaw

Pasupuleti

Overby

et al. 2014

Surgery for Obesity and Related Diseases

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for the Cardiovascular Meta-analysis Research Group., Inferior vena cava filters and postoperative outcomes in patients undergoing bariatric surgery: a meta-analysis, Surgery for Obesity and Related Diseases, http://dx. doi. org/10.1016/j.soard.2014.04.008 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Short TitleInferior vena cava filters and bariatric surgery outcomes Abstract Background: Pulmonary embolism (PE) accounts for almost 40% of perioperative deaths after

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“…52 More direct, but lower-quality evidence comes from a large, prospective cohort study that used propensity scoring methods to compare VTE outcomes among bariatric surgery patients with and without IVC fi lters. 53 Before propensity adjustment, patients with IVC fi lters had higher rates of postoperative VTE and death or serious disability. Following propensity adjustment, the difference in postoperative VTE was no longer statistically signifi cant, but the risk of death or serious disability remained 2.5 times higher in the fi lter group.…”

Section: Ivc Filter Vs No Ivc Filtermentioning

confidence: 99%

Prevention of VTE in Nonorthopedic Surgical Patients

Gould

García

Wren

et al. 2012

Chest

1,857

744

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(Grade 2C) prophylaxis be used other than early ambulation. For patients at low risk for VTE ( ‫ف‬ 1.5%), we suggest mechanical prophylaxis, preferably with intermittent pneumatic compression (IPC), over no prophylaxis (Grade 2C). For patients at moderate risk for VTE ( ‫ف‬ 3%) who are not at high risk for major bleeding complications, we suggest low-molecular-weight heparin (LMWH) (Grade 2B), low-dose unfractionated heparin (Grade 2B), or mechanical prophylaxis with IPC (Grade 2C) over no prophylaxis. For patients at high risk for VTE ( ‫ف‬ 6%) who are not at high risk for major bleeding complications, we recommend pharmacologic prophylaxis with LMWH (Grade 1B) or low-dose unfractionated heparin (Grade 1B) over no prophylaxis. In these patients, we suggest adding mechanical prophylaxis with elastic stockings or IPC to pharmacologic prophylaxis (Grade 2C). For patients at high risk for VTE undergoing abdominal or pelvic surgery for cancer, we recommend extended-duration, postoperative, pharmacologic prophylaxis (4 weeks) with LMWH over limited-duration prophylaxis (Grade 1B). For patients at moderate to high risk for VTE who are at high risk for major bleeding complications or those in whom the consequences of bleeding are believed to be particularly severe, we suggest use of mechanical prophylaxis, preferably with IPC, over no prophylaxis until the risk of bleeding diminishes and pharmacologic prophylaxis may be initiated (Grade 2C). For patients in all risk groups, we suggest that an inferior vena cava fi lter not be used for primary VTE prevention (Grade 2C) and that surveillance with venous compression ultrasonography should not be performed (Grade 2C). We developed similar recommendations for other nonorthopedic surgical populations. Conclusions: Optimal thromboprophylaxis in nonorthopedic surgical patients will consider the risks of VTE and bleeding complications as well as the values and preferences of individual patients. CHEST 2012; 141(2)(Suppl):e227S-e277SAbbreviations: CABG 5 coronary artery bypass graft; ES 5 elastic stockings; ICH 5 intracranial hemorrhage; IPC 5 intermittent pneumatic compression; IVC 5 inferior vena cava; LDUH 5 low-dose unfractionated heparin; LMWH 5 low-molecular-weight heparin; PE 5 pulmonary embolism; QALY 5 quality-adjusted life year; RR 5 risk ratio; VCU 5 venous compression ultrasonography

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Preoperative Placement of Inferior Vena Cava Filters and Outcomes After Gastric Bypass Surgery

Abstract: Prophylactic IVC filters for gastric bypass surgery do not reduce the risk of pulmonary embolism and may lead to additional complications.

Cited by 98 publications

References 29 publications

The ASH Choosing Wisely® campaign: five hematologic tests and treatments to question

The ASH Choosing Wisely® campaign: five hematologic tests and treatments to question

Inferior vena cava filters and postoperative outcomes in patients undergoing bariatric surgery: a meta-analysis

Prevention of VTE in Nonorthopedic Surgical Patients

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