Retrievable inferior vena cava filters may be safely applied in gastric bypass surgery

Schuster, Rob; Hagedorn, Judith C.; Curet, Myriam J.; Morton, John M.

doi:10.1007/s00464-007-9370-1

Cited by 35 publications

(27 citation statements)

References 19 publications

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“…In contrast to Birkmeyer et al, all studies that were included in our analysis stated that IVCF are safe and should be considered in high-risk patients undergoing bariatric surgery [1,6,11,[13][14][15][16]26]. One of these studies that advocated the use of prophylactic IVCF had a prospective part in their study design [12].…”

Section: Discussionmentioning

confidence: 89%

“…In our and in Rajasekhar and Crowther's review, there was an overlap of reviewed articles. [1,6,11,[13][14][15][16] However, we excluded any studies that investigated bariatric procedures other than gastric bypass surgery, because of different patient characteristics, as well as different length and technical complexity of each procedure. In addition, we attempted to compare the outcome of laparoscopic and open gastric bypass surgery, which showed no difference in the rate of PE, but, interestingly, a trend towards higher rate of major complications and DVT in the laparoscopic group, despite a slightly higher mortality in the open group.…”

Section: Discussionmentioning

confidence: 99%

“…Patient data were analyzed for eight of the 13 studies. [1,6,11,[13][14][15][16]26] The following five studies were excluded from our data analysis:…”

Section: Methodsmentioning

confidence: 99%

“…[1,2,6,7,[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] We identified 12 retrospective studies about the prophylactic use of IVCF in bariatric surgery. [1,2,6,7,[10][11][12][13][14][15][16]26] One of the studies also had a prospective part in its study design. [11] In addition, one prospective study was found [17].…”

Section: Methodsmentioning

confidence: 99%

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The efficacy of prophylactic IVC filters in gastric bypass surgery

et al. 2014

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It is estimated that 55 % of bariatric surgeons use IVCF in high-risk patients. Prospective research that supports the use of IVCF is very limited, and individualized placement relies on retrospective studies only. In addition, patient characteristics associated with high risk vary between different studies. Our review showed that most of the published studies support the use of prophylactic IVCF and found it to be safe. On the other hand, the largest and most recent retrospective cohort study does not support their use. The efficacy of prophylactic IVCFs before gastric bypass surgery in high-risk patients has not been established.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

“…Patient data were analyzed for eight of the 13 studies. [1,6,11,[13][14][15][16]26] The following five studies were excluded from our data analysis:…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

The efficacy of prophylactic IVC filters in gastric bypass surgery

et al. 2014

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“…The one failed filter retrieval was attempted 46 days after placement. The use of both permanent and prIVCF for VTE prophylaxis for highrisk surgical patients has been well-documented in those undergoing bariatric and spinal procedures [17][18][19][20]. However, in the orthopedic population, only permanent IVC filters have been investigated.…”

Section: Discussionmentioning

confidence: 99%

The role of potentially retrievable inferior vena cava filters in high-risk patients undergoing joint arthroplasty

Dhand¹,

Ryu²,

Karp³

et al. 2013

Journal of Vascular and Interventional Radiology

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Risks and benefits of prophylactic inferior vena cava filters in patients undergoing bariatric surgery

Birkmeyer

Finks

English

et al. 2013

Journal of Hospital Medicine

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BACKGROUND The United States Food and Drug Administration recently issued a warning about adverse events in patients receiving inferior vena cava (IVC) filters. OBJECTIVE To assess relationships between IVC filter insertion and complications while controlling for differences in baseline patient characteristics and medical venous thromboembolism prophylaxis. DESIGN Propensity‐matched cohort study. SETTING The prospective, statewide, clinical registry of the Michigan Bariatric Surgery Collaborative. PATIENTS Bariatric surgery patients (n=35,477) from 32 hospitals during the years 2006 through 2012. INTERVENTION Prophylactic IVC filter insertion. MEASUREMENTS Outcomes included the occurrence of complications (pulmonary embolism, deep vein thrombosis, and overall combined rates of complications by severity) within 30 days of bariatric surgery. RESULTS There were no significant differences in baseline characteristics among the 1,077 patients with IVC filters and in 1,077 matched control patients. Patients receiving IVC filters had higher rates of pulmonary embolism (0.84% vs 0.46%; odds ratio [OR], 2.0; 95% confidence interval [CI], 0.6‐6.5; P=0.232), deep vein thrombosis (1.2% vs 0.37%; OR, 3.3; 95% CI, 1.1‐10.1; P=0.039), venous thromboembolism (1.9% vs 0.74%; OR, 2.7; 95% CI, 1.1‐6.3, P=0.027), serious complications (5.8% vs 3.8%; OR, 1.6; 95% CI, 1.0‐2.4; P=0.031), permanently disabling complications (1.2% vs 0.37%; OR, 4.3; 95% CI, 1.2‐15.6; P=0.028), and death (0.7% vs 0.09%; OR, 7.0; 95% CI, 0.9‐57.3; P=0.068). Of the 7 deaths among patients with IVC filters, 4 were attributable to pulmonary embolism and 2 to IVC thrombosis/occlusion. CONCLUSIONS We have identified no benefits and significant risks to the use of prophylactic IVC filters among bariatric surgery patients and believe that their use should be discouraged. Journal of Hospital Medicine 2013;8:173–177. © 2013 Society of Hospital Medicine

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Retrievable inferior vena cava filters may be safely applied in gastric bypass surgery

Abstract: Prophylactic IVC filter placement and retrieval can be safely undertaken in high-risk gastric bypass patients. We recommend preoperative IVC filter placement in selected patients.

Cited by 35 publications

References 19 publications

The efficacy of prophylactic IVC filters in gastric bypass surgery

The efficacy of prophylactic IVC filters in gastric bypass surgery

The role of potentially retrievable inferior vena cava filters in high-risk patients undergoing joint arthroplasty

Risks and benefits of prophylactic inferior vena cava filters in patients undergoing bariatric surgery

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