Quality Improvement Guidelines for the Performance of Inferior Vena Cava Filter Placement for the Prevention of Pulmonary Embolism

Caplin, Drew; Nikolic, Boris; Kalva, Sanjeeva P.; Ganguli, Suvranu; Saad, Wael E.A.; Zuckerman, Darryl A.

doi:10.1016/j.jvir.2011.07.012

Cited by 153 publications

(169 citation statements)

References 61 publications

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“…The retrieval rate increased over time, from roughly every 1‐out‐7 VCFs being retrieved in 2010 up to 1‐out‐4 retrieved in 2014. This effect may be explained by the increased attention VCFs received over this time period including US Food and Drug Administration safety alerts, as well as guideline updates (American College of Chest Physicians),1 which called for more conservative use of VCFs compared with guidelines presented by other physician societies in interventional radiology and trauma 27, 28. For those who did have their VCF retrieved in our study, time to retrieval was within mean and median times of 93 and 71 days postimplantation.…”

Section: Discussionmentioning

confidence: 99%

Vena Cava Filter Retrieval Rates and Factors Associated With Retrieval in a Large US Cohort

Brown

Raissi

Han

et al. 2017

JAHA

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BackgroundRetrieval of vena cava filters (VCFs) is important for safety as complications increase with longer dwell times. This study assessed VCF retrieval rates and factors associated with retrieval in a national cohort.Methods and Results VCFs were identified by procedural codes from an administrative claims database. Patients were identified who had a VCF placement during a hospitalization from a national commercial administrative claims database. Indications for VCF placement were identified as pulmonary embolism with or without deep vein thrombosis, deep vein thrombosis only, or prophylactic. Patient demographic and clinical characteristics were included in proportional hazard regression models to find associations with early (90‐day) and 1‐year VCF retrieval. Initiation of anticoagulation and the correlation between time‐to‐retrieval and time‐to‐initiation of anticoagulation were observed. Of 54 766 patients receiving a VCF, 36.9% had pulmonary embolism, 43.9% had deep vein thrombosis only, and 19.2% had no apparent venous thromboembolism present. Over the 1 year of follow‐up, the cumulative incidence of VCF retrieval was 18.4%. Retrieval increased over time from a low of 14.0% in 2010 up to ≈24% in 2014. In adjusted time‐to‐event models, increasing age, differing regions, and some comorbidities were associated with poorer retrieval rates. Initiation of anticoagulation was poorly correlated with retrieval, with anticoagulation preceding retrieval by a median of 51 days while those without retrieval had a median of 278 days of exposure to anticoagulation.Conclusions VCF retrieval increased over the study period but remained suboptimal and was weakly correlated with anticoagulation initiation.

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Section: Discussionmentioning

confidence: 99%

Vena Cava Filter Retrieval Rates and Factors Associated With Retrieval in a Large US Cohort

Brown

Raissi

Han

et al. 2017

JAHA

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“…This is almost certainly a reflection of the paucity of evidence on the subject and conflicting international guidelines. 2,4,5 There are no good quality data on the use of prophylactic filters in trauma. The most recent systematic review and metaanalysis 6 on the subject concluded that IVC filter placement is associated with a lower occurrence of pulmonary embolus (PE).…”

Section: Discussionmentioning

confidence: 99%

Prophylactic Inferior Vena Cava Filters in Trauma: A National Survey of Current Practice

Revill¹,

Clark²,

Appelboam

2014

Journal of the Intensive Care Society

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A standardised telephone and electronic questionnaire survey was constructed to ascertain current practice in major trauma centres in England regarding the use of inferior vena cava (IVC) filters as thromboprophylaxis in the management of multiply injured patients. The leads for trauma or duty consultants of each of the 22 major trauma centres in England were contacted, with a response rate of 100%. Eight of the 22 units (37%) used prophylactic IVC filters in major trauma patients, and all of these were inserted by a radiologist and designed to be retrievable. Only five units surveyed (18%) were aware of guidance regarding the use of IVC filters. Reported complication rates were low, but only two centres reported no complications. There was no consensus for the time frame for removal of IVC filters. Patients with prolonged immobility secondary to spinal injury or head injury and those with pelvic injuries were considered to be at the highest risk. These results show that there is considerable variation among clinicians who manage multiply injured patients. There is a low level of awareness of international guidelines. This is likely to reflect the paucity of evidence supporting their use.

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“…Kabul edilmiş endikasyonlar açısından tıp dernekleri arasın-da uyuşmazlıklar bulunmaktır. En temel alınan iki grup Society of Interventional Radiology (SIR) ve American College of Chest Physicians (ACCP) arasında belirgin farklılıklar mevcuttur [9,10]. ACCP kılavuzunda VKF kullanımı için oldukça sert sınırlamalar getirilmiştir.…”

Section: Endikasyonlarunclassified

“…Yaklaşık %9 vakada 3 mm'den fazla penetrasyon olabileceği vurgulanmıştır [15]. İVK trombüsü en sık tartışılan problemdir ve literatürde %2-30 oranında olabileceği belirtilmiştir [9].…”

Section: Komplikasyonlarunclassified

Vena Kava Filtre Yerlestirme

Karaman¹,

Özen²

2015

Trd Sem

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Quality Improvement Guidelines for the Performance of Inferior Vena Cava Filter Placement for the Prevention of Pulmonary Embolism

Cited by 153 publications

References 61 publications

Vena Cava Filter Retrieval Rates and Factors Associated With Retrieval in a Large US Cohort

Vena Cava Filter Retrieval Rates and Factors Associated With Retrieval in a Large US Cohort

Prophylactic Inferior Vena Cava Filters in Trauma: A National Survey of Current Practice

Vena Kava Filtre Yerlestirme

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