Systematic Review of the Use of Retrievable Inferior Vena Cava Filters

Angel, Luis F.; Tapson, Victor F.; Galgon, Richard E.; Restrepo, Marcos I.; Kaufman, John A.

doi:10.1016/j.jvir.2011.08.024

Cited by 428 publications

(396 citation statements)

References 58 publications

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“…The current analysis is consistent with other reports regarding VCF retrieval 7, 8. 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.…”

Section: Discussionsupporting

confidence: 91%

“…However, in real‐world practice, estimates of the retrieval rates range much lower, with an average of about one third of all VCFs eventually being retrieved 7. Patients are at risk for complications including inferior vena cava thrombosis, device fracture, device migration, and DVT so long as the VCF remains in place 7, 26.…”

Section: Discussionmentioning

confidence: 99%

“…In real‐world settings, retrieval rates of VCFs have been dismal, with reports ranging from 10% to 50% and an estimated average near 30% 7, 8. Poor retrieval rates correspond to an increase in reported adverse events 7.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Poor retrieval rates correspond to an increase in reported adverse events 7. Complications associated with VCFs include increased risk of deep vein thrombosis (DVT), inferior vena cava thrombosis, inferior vena cava penetration, VCF fracture, and VCF embolization 7, 9, 10, 11. Given these trends, the US Food and Drug Administration has issued a safety communication highlighting the need to remove VCFs once the risk of pulmonary embolism (PE) has subsided based on modeling studies showing that VCFs are most clinically beneficial if retrieved within 90 days after implantation 11, 12…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%