2015
DOI: 10.1055/s-0034-1396962
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Procedural and Indwelling Complications with Inferior Vena Cava Filters: Frequency, Etiology, and Management

Abstract: Inferior vena cava (IVC) filters are commonly used in select high-risk patients for the prevention of pulmonary embolism. Potentially serious complications can arise from the use of IVC filters, including thrombosis of the filter itself and filter fragment embolization. This article discusses the utility of IVC filters and reviews the management of two cases of filter-related complications.

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Cited by 26 publications
(19 citation statements)
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“…The symptoms include pain and edema of both lower extremities as well as renal failure if the thrombus extends in to the suprarenal IVC. A thrombosed IVC filter (Figure 6), may increase the risk of PE as thrombus may extend above the filter and then emboli leading to recurrent PE in the setting of an IVC filter (32). The exact etiology of filter thrombosis is unknown-it may be related to patients' increased baseline risk for thromboembolism or to the filter's inherent thrombogenicity as a foreign body in the cava.…”
Section: Thrombosismentioning
confidence: 99%
“…The symptoms include pain and edema of both lower extremities as well as renal failure if the thrombus extends in to the suprarenal IVC. A thrombosed IVC filter (Figure 6), may increase the risk of PE as thrombus may extend above the filter and then emboli leading to recurrent PE in the setting of an IVC filter (32). The exact etiology of filter thrombosis is unknown-it may be related to patients' increased baseline risk for thromboembolism or to the filter's inherent thrombogenicity as a foreign body in the cava.…”
Section: Thrombosismentioning
confidence: 99%
“…The current case describes an occurrence of filter malposition, which fortunately is usually not in and of itself a dangerous complication. 9 The most serious risk of this complication would be pulmonary embolism arising from the contralateral deep venous system despite filter placement. Filter malposition is also a problem that may easily be remedied.…”
Section: Discussionmentioning
confidence: 99%
“…As strut perforation is progressive over time (15), efforts to decrease dwell time through clinic initiatives further benefits patients by reducing dwell time and preventing additional perforations. Further, the risk for severe bleeding in patients eligible for anticoagulation treatment for venous thromboembolic disease is approximately four events per 100 patient-years (16), which is significantly less than the risks associated with long-dwelling retrievable IVCFs (17). This study is limited as it only evaluates the costs and reimbursements associated with the IVCF placement and retrieval procedures and should be considered within the context of its design and assumptions.…”
Section: Discussionmentioning
confidence: 99%