Reassessment of the Role of Inferior-Vena-Cava Ligation in Venous Thromboembolism

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.

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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

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Abstract No. 494 Incidence of venous thromboembolism among hospitalized COVID-19 patients in the United States: systematic review of the reported risk and role of inferior vena cava filters

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2021.03.303 ◽

2021 ◽

Vol 32 (5) ◽

pp. S127-S128

Author(s):

l. Acosta ◽

R. Jayavarapu ◽

D. Raissi

Keyword(s):

United States ◽

Systematic Review ◽

Venous Thromboembolism ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

The United States ◽

Inferior Vena Cava Filters ◽

Vena Cava Filters

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-2011.1.561 ◽

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

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

Seminars in Interventional Radiology ◽

10.1055/s-0041-1724013 ◽

2021 ◽

Vol 38 (01) ◽

pp. 040-044

Author(s):

Nicholas Xiao ◽

Kush R. Desai

Keyword(s):

Venous Thromboembolism ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Severe Trauma ◽

Trauma Patients ◽

Inferior Vena Cava Filters ◽

Vena Cava Filters ◽

Prolonged Immobilization

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.

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Role of Inferior Vena Cava Filter Retrieval in Patients on Chronic Anticoagulation Therapy

Current Treatment Options in Cardiovascular Medicine ◽

10.1007/s11936-020-00891-1 ◽

2021 ◽

Vol 23 (2) ◽

Author(s):

Savannah Fletcher ◽

Adam Plotnik ◽

Ravi N. Srinivasa ◽

Jeffrey Forris Beecham Chick ◽

John M. Moriarty

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena Cava Filter ◽

Inferior Vena ◽

Treatment Options ◽

Anticoagulation Therapy ◽

Vena Cava ◽

Vena Cava Filter ◽

Venous Thromboembolic

Abstract Purpose of review Describe the role of inferior vena cava filter (IVCF) retrieval in patients on chronic anticoagulation given the overlap of these treatment options in the management of patients with venous thromboembolic disease. Recent findings Despite the increase in IVCF retrievals since the Food and Drug Administration safety communications in 2010 and 2014, retrieval rates remain low. Previous studies have shown that longer filter dwell times are associated with greater risk for filter complications and more difficulty with filter retrievals. Recent findings suggest that complications are more frequent in the first 30 days after placement. Summary The decision to retrieve an optional IVCF is individualized and requires diligent follow-up with consistent re-evaluation of the need for the indwelling IVCF, particularly in those on long-term anticoagulation therapy.

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