Retrievable inferior vena cava filter use in major trauma

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.

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

Obstetric Medicine ◽

10.1177/1753495x16648026 ◽

2016 ◽

Vol 9 (3) ◽

pp. 102-105 ◽

Cited By ~ 1

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.

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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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