Leiomyosarcoma of inferior vena cava (IVC): do we really need to reconstruct IVC post resection? Single institution experience

Author(s):  
Mahesh Goel ◽  
Anand Mohan ◽  
Shraddha Patkar ◽  
Kunal Gala ◽  
Nitin Shetty ◽  
...  
TH Open ◽  
2021 ◽  
Vol 05 (01) ◽  
pp. e73-e80
Author(s):  
Filip Ionescu ◽  
Nwabundo Anusim ◽  
Eva Ma ◽  
Lihua Qu ◽  
LeAnn M. Blankenship ◽  
...  

AbstractRecognition of the adverse events of inferior vena cava filters (VCFs) has prompted the Food and Drug Administration (FDA) to issue safety warnings (2010 and 2014), advocating for removal, once the risk of pulmonary embolism has abated. Despite an initial increase in retrieval rates, these remain low (25–30% at 1 year in 2014). We retrospectively investigated retrieval trends in adults with VCFs placed between 2015 and 2018 at a single institution. The rate of retrievable VCF removal accounting for the competing risk of death was the main outcome. There were 494 VCFs placed (305 retrievable). The cumulative incidence of retrieval remained low (21% at 1 year), even after the second FDA warning (2014). Patients who resumed anticoagulation (AC) at any time were more likely to have retrieval (hazard ratio [HR] = 3.6, p < 0.01) and had higher retrieval rates at every time point (31.4 vs. 7.6% at 1 year). Advanced age (HR = 0.98 per year, p = 0.004), stroke (HR = 0.28, p = 0.028), and active malignancy (HR = 0.42, p = 0.006) predicted nonretrieval. Device-related complications were infrequent (<1%) but thrombotic complications occurred early and were more common for nonretrieved VCFs (17 vs. 12%, p = 0.29). Revision of guidelines to recommend active surveillance for the ability to tolerate AC in the immediate postimplantation period may improve retrieval rates.


2018 ◽  
Vol 36 (15_suppl) ◽  
pp. e23556-e23556
Author(s):  
Brittany Siontis ◽  
Laurence H. Baker ◽  
William Burns ◽  
Scott Schuetze ◽  
Rashmi Chugh

2012 ◽  
Vol 23 (12) ◽  
pp. 1557-1563 ◽  
Author(s):  
Dayong Zhou ◽  
James Spain ◽  
Eunice Moon ◽  
Gordon Mclennan ◽  
Mark J. Sands ◽  
...  

2018 ◽  
Vol 26 (3) ◽  
pp. 363-368
Author(s):  
Yoichiro Tohi ◽  
Noriyuki Makita ◽  
Issei Suzuki ◽  
Ryosuke Suzuki ◽  
Masashi Kubota ◽  
...  

2020 ◽  
Vol 8 (2) ◽  
pp. 325-327
Author(s):  
Tommy Ivanics ◽  
Paul Williams ◽  
Hassan Nasser ◽  
Shravan Leonard-Murali ◽  
Scott Schwartz ◽  
...  

Radiology ◽  
2015 ◽  
Vol 275 (3) ◽  
pp. 900-907 ◽  
Author(s):  
S. William Stavropoulos ◽  
Benjamin H. Ge ◽  
Jeffrey I. Mondschein ◽  
Richard D. Shlansky-Goldberg ◽  
Deepak Sudheendra ◽  
...  

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