Inferior vena cava filters: current best practices

@article{Rajasekhar2015InferiorVC,
  title={Inferior vena cava filters: current best practices},
  author={Anita Rajasekhar},
  journal={Journal of Thrombosis and Thrombolysis},
  year={2015},
  volume={39},
  pages={315-327}
}
  • A. Rajasekhar
  • Published 2015
  • Medicine
  • Journal of Thrombosis and Thrombolysis
Venous thromboembolism (VTE) is a common cause of inpatient and outpatient morbidity and mortality. While anticoagulant therapy is considered the primary means of prevention and treatment of VTE, inferior vena cava filters (IVCFs) are often used as an alternative or adjunct to anticoagulation. With the advent of retrievable filters indications have liberalized, to include placement for primary prophylaxis in high-risk patients. However, this practice is based on limited evidence supporting… Expand
European guidelines on perioperative venous thromboembolism prophylaxis: Inferior vena cava filters.
TLDR
Evidence from low-quality studies or registries, with small numbers of patients and conflicting findings, does not allow for a strong recommendation for or against the use of IVCFs, resulting in a prolonged contra-indication to pharmacological prophylaxis. Expand
Incidence of thrombotic events and complications associated to inferior vena cava filters in patients with and without anticoagulation therapy.
TLDR
Patients with IVCF on anticoagulation have equivalent rates of thrombotic events and device-related complications than those patients NA, according to a retrospective review of patients that underwent insertion of IVCF. Expand
Retrievable inferior vena cava filters in geriatric trauma: Is there an age bias?
TLDR
IVCF plays a critical role in the management of trauma patients with VTE, particularly the geriatric population, and an age bias is exposed with retrieval rate being lower in patients >/=65 compared to those <65 (9% vs. 47%). Expand
Inferior vena cava filter use and patient safety: legacy or science?
  • W. Geerts, R. Selby
  • Medicine
  • Hematology. American Society of Hematology. Education Program
  • 2017
TLDR
Despite the lack of direct evidence for the benefit of VCFs for any indication, it is appropriate to insert a retrievable VCF in patients with a recent proximal deep vein thrombosis and an absolute contraindication to therapeutic anticoagulation and then to remove the filter once the bleeding risk decreases and the patient has been antICOagulated. Expand
Bedside implantation of a new temporary vena cava inferior filter ‐ Safety and efficacy results of the European ANGEL‐Registry
TLDR
Data shows that the Angel® catheter is a safe and effective approach to overcome the acute phase of critically ill patients with a high risk for the development of PE or an established PE, when an anticoagulation therapy is contraindicated. Expand
Acute phase treatment of VTE: Anticoagulation, including non-vitamin K antagonist oral anticoagulants.
TLDR
The non-vitamin K antagonist oral anticoagulants, including the factor Xa inhibitors apixaban, edoxaban and rivaroxaban as well as the direct-thrombin inhibitor dabigatran, are increasing the convenience of and options available for VTE treatment. Expand
The short-term efficacy of vena cava filters for the prevention of pulmonary embolism in patients with venous thromboembolism receiving anticoagulation: Meta-analysis of randomized controlled trials
TLDR
Inferior vena cava filter in addition to anticoagulation was not associated with a reduction in the incidence of recurrent pulmonary embolism as compared with anticoAGulation alone in patients with deep vein thrombosis in the short term. Expand
Inferior vena cava filter thrombosis
Patients with inferior vena cava (IVC) filters – particularly permanent filters – are at increased risk for recurrent deep venous thrombosis (DVT). Judicious use of IVC filters, as well as the promptExpand
Inferior Vena Cava Filters and Ports
TLDR
This chapter will cover the office-based considerations of these procedures including indications, device selection, evidence-based technique, and postoperative care, including potential complications and their associated management. Expand
IVC filter retrieval
In this review article the major indications of Inferior Vena Caval (IVC) filter implantation and need for their retrievals are discussed. In addition to the routine methods of retrieval, theExpand
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