Venous Thromboembolism in Trauma: The Role of Anticoagulation and Inferior Vena Cava Filters

AbstractVenous thromboembolism (VTE) is a significant contributor to morbidity and mortality among patients with severe trauma. Historically, prophylactic inferior vena cava filters (IVCFs) were used in high-risk trauma patients with suspected risk factors for VTE, including prolonged immobilization, and concurrent contraindication to anticoagulation. Mounting data regarding the efficacy of IVCF in this cohort, as well as concerns regarding morbidity of an in situ IVCF, have challenged this practice paradigm. In this review, we discuss the comanagement of VTE and trauma, including anticoagulation and the use of IVCF.

Download Full-text

Inferior Vena Cava Filters—Current Role and Controversies

Journal of Clinical Interventional Radiology ISVIR ◽

10.1055/s-0039-1685236 ◽

2019 ◽

Vol 03 (01) ◽

pp. 037-043

Author(s):

Harit Kapoor ◽

Driss Raissi

Keyword(s):

Venous Thromboembolism ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Off Label Use ◽

Current Role ◽

Off Label ◽

Inferior Vena Cava Filters ◽

Vena Cava Filters

AbstractInferior vena cava filters (IVCFs) remain an indispensable part of an interventionalist's toolbox. Increased recognition of filter-related complications, largely from off-label use and casual approach to filter retrieval, has led to tremendous uncertainty surrounding their use. More stringent regulations on their use and development of newer and safer anticoagulants are gradually changing their role in the management of venous thromboembolism. Herein, the authors review the current role of IVCFs, indications for their use and retrieval, as well as filter-related complications.

Download Full-text

Rajasekhar A, Crowther MA. ASH evidence-based guidelines: what is the role of inferior vena cava filters in the perioperative prevention of venous thromboembolism in bariatric surgery patients? Hematology Am Soc Hematol Educ Program. 2009;2009:302–304.

Hematology ◽

10.1182/asheducation.v2011.1.561.3730330 ◽

2011 ◽

Vol 2011 (1) ◽

pp. 561-561

Keyword(s):

Bariatric Surgery ◽

Venous Thromboembolism ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Evidence Based ◽

Inferior Vena Cava Filters ◽

Vena Cava Filters ◽

Evidence Based Guidelines

Download Full-text

Retrievable inferior vena cava filter use in major trauma

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13171221500989 ◽

2012 ◽

Vol 94 (3) ◽

pp. 146-147 ◽

Cited By ~ 3

Author(s):

A Vasireddy ◽

AM Phillips ◽

D Lewis

Keyword(s):

Venous Thromboembolism ◽

Inferior Vena Cava ◽

Inferior Vena Cava Filter ◽

Major Trauma ◽

Inferior Vena ◽

Vena Cava ◽

Trauma Patients ◽

Vte Prophylaxis ◽

Inferior Vena Cava Filters ◽

Vena Cava Filters

Venous thromboembolism (VTE) remains a devastating complication among trauma patients. However, conventional VTE prophylaxis is often contraindicated in major trauma patients due to concurrent injuries. This article discusses the use of retrievable inferior vena cava filters as a method for VTE prophylaxis in major trauma patients.

Download Full-text