scholarly journals Epidemiology of the use of inferior vena cava filters in Brazil between 2008 and 2019

2021 ◽  
Author(s):  
Andressa Cristina Sposato Louzada ◽  
Dafne Braga Diamante Leiderman ◽  
Marcelo Fiorelli Alexandrino da Silva ◽  
Maria Fernanda Cassino Portugal ◽  
Joao Carlos de Campos Guerra ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Mortality Rate ◽  
Inferior Vena Cava ◽  
Hospital Mortality ◽  
Inferior Vena ◽  
Public Health System ◽  
Vena Cava ◽  
The North ◽  
Inferior Vena Cava Filters ◽  
Vena Cava Filters

Purpose: to study the totality of inferior vena cava filters placed in the Brazilian Public Health System, which insures more than 160 million Brazilians, trends by geographic region and in-hospital deaths after filter placements and also due to pulmonary embolism between 2008 and 2019. Patients and methods: public and open data regarding in-hospital mortality due to pulmonary embolism and all inferior vena cava filters placed in Brazilian public hospitals between January 2008 and December 2019 were extracted from the Brazilian Public Health System databases. Results: 9108 inferior vena cava filters were placed, 98.18% of which was therapeutic. There was an overall increasing use of these devices, statistically significant for all Brazilian regions, except the North. In-hospital mortality rate in patients who received inferior vena cava filters was 6.21%, stable over time. We observed an upward trend in in-hospital mortality rate due to pulmonary embolism, statistically significant for all Brazilian regions, except the North. Conclusion: We observed a low standardized rate of inferior vena cava filter placements in Brazil between 2008 and 2019, but with a trend towards an increasing trend use. Almost all indications for filter placement were therapeutic. In hospital mortality in patients receiving inferior vena cava filters was high, 6.21%, and stable over time, whereas the trend of in-hospital mortality rate due to pulmonary embolism is increasing. Our findings were heterogeneous across Brazilian regions and contrasted to those observed in the USA, which is likely due to cultural and socioeconomic factors.

Decision analysis of retrievable inferior vena cava filters in patients without pulmonary embolism

2013 ◽  
Vol 1 (4) ◽  
pp. 376-384 ◽  
Author(s):  
Jose Pablo Morales ◽  
Xuefeng Li ◽  
Telba Z. Irony ◽  
Nicole G. Ibrahim ◽  
Megan Moynahan ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Inferior Vena Cava ◽  
Decision Analysis ◽  
Inferior Vena ◽  
Vena Cava ◽  
Inferior Vena Cava Filters ◽  
Vena Cava Filters

scholarly journals The use of retrievable inferior vena cava filters in pregnancy: Another successful case report, but are we actually making a difference?

2016 ◽  
Vol 9 (3) ◽  
pp. 102-105 ◽  
Author(s):  
Lodewyk E Du Plessis ◽  
Ben W Mol ◽  
John M Svigos
Keyword(s):  
Venous Thromboembolism ◽  
Mortality Rate ◽  
Inferior Vena Cava ◽  
Risk Reduction ◽  
Inferior Vena Cava Filter ◽  
Inferior Vena ◽  
Vena Cava ◽  
Vena Cava Filter ◽  
Inferior Vena Cava Filters ◽  
Vena Cava Filters

Background Pregnant women with venous thromboembolism are traditionally managed with anticoagulation, but inferior vena cava filters are an alternative. We balanced risks and benefits of an inferior vena cava filter in a decision analysis. Methods We constructed a decision model to compare in pregnant women with VTE the outcome of (1) inferior vena cava filter and anticoagulant treatment versus (2) anticoagulant treatment only. Results Assuming a 63% risk reduction from an inferior vena cava filter (baseline mortality rate of venous thromboembolism of 0.5%), 318 women would need to be treated with inferior vena cava filters to prevent one venous thromboembolism related maternal death. Sensitivity analyses indicated that at a mortality rate of 0.5% the risk reduction from inferior vena cava filters needed to be 80%, while at a mortality rate of 2% a risk reduction of 20% would justify inferior vena cava filters. Conclusions In view of their potential morbidity, inferior vena cava filters should be restricted to pregnant woman at strongly increased risk of recurrent venous thromboembolism.

Treatment: catheter-based intervention and inferior vena cava filters

ESC CardioMed ◽  
2018 ◽  
pp. 2781-2786
Author(s):  
Ronald S. Winokur ◽  
Akhilesh K. Sista
Keyword(s):  
Pulmonary Embolism ◽  
Deep Vein Thrombosis ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Vein Thrombosis ◽  
Inferior Vena Cava Filters ◽  
Vena Cava Filters ◽  
Physiological Benefits ◽  
Deep Vein

Venous thromboembolism including pulmonary embolism and deep vein thrombosis leads to short- and long-term morbidity and in some cases mortality. Although treatment approaches vary among institutions based on local expertise, the employment of interventional techniques is of great interest. Several studies have shown clinical and physiological benefits from catheter-based techniques. However, these therapies are not without risk, especially with the use of powerful thrombolytic agents that increase the rate of bleeding. This chapter reviews the catheter-based techniques for the management of deep vein thrombosis and pulmonary embolism as well as the indications and complications of inferior vena cava filters.

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