Inferior vena cava filters: a review

Venous thromboembolism is an entity that ranges from deep vein thrombosis to pulmonary embolism, both are highly prevalent diseases in our environment and potentially fatal. The intention of this review is to compile information regarding the indications, contraindications, complications and comparison of different therapeutic methods in order to create an algorithm. An exhaustive review was performed with the available literature, using the PubMed, ScienceDirect, Scopus and Cochrane databases from 2004 to 2021. The search criteria were formulated to identify reports related to inferior vena cava filters. Venous thrombosis manifested as deep vein thrombosis or pulmonary embolism is a highly prevalent disease in our setting with high morbidity and mortality. Currently, different therapeutic options have been presented to address this pathology, in this review we focus on the developments regarding the use of vena cava filters. Reviewing the indications for the placement of a vena cava filter, we find absolute indications such as a contraindication to anticoagulation and high risk of massive pulmonary embolism. Pulmonary thromboembolism is a disease with high prevalence and mortality, we have highly effective and novel treatments such as the vena cava filter, patients should be selected carefully always taking into account the absolute and relative indications.

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Treatment: catheter-based intervention and inferior vena cava filters

ESC CardioMed ◽

10.1093/med/9780198784906.003.0664 ◽

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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Experience of temporary inferior vena cava filters inserted in the perinatal period to prevent pulmonary embolism in pregnant women with deep vein thrombosis

Journal of Vascular Surgery ◽

10.1016/j.jvs.2005.01.023 ◽

2005 ◽

Vol 41 (4) ◽

pp. 652-656 ◽

Cited By ~ 44

Author(s):

Kazuya Kawamata ◽

Yoshihide Chiba ◽

Ryoichi Tanaka ◽

Masahiro Higashi ◽

Kazuhiro Nishigami

Keyword(s):

Pulmonary Embolism ◽

Deep Vein Thrombosis ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Perinatal Period ◽

Vein Thrombosis ◽

Inferior Vena Cava Filters ◽

Vena Cava Filters ◽

Deep Vein

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Temporäre Vena-Cava-Filter verhindern nicht immer eine tödliche Pulmonalembolie

VASA ◽

10.1024/0301-1526.29.4.292 ◽

2000 ◽

Vol 29 (4) ◽

pp. 292-294 ◽

Cited By ~ 4

Author(s):

Robert Bucek ◽

Maca ◽

Ahmadi ◽

Minar

Keyword(s):

Pulmonary Embolism ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Vena Cava Filter ◽

Fatal Pulmonary Embolism ◽

Vein Thrombosis ◽

Inferior Vena Cava Filters ◽

Vena Cava Filters ◽

Deep Vein

We describe the case of a young woman who developed fatal pulmonary embolism during thrombolytic therapy of a deep pelvic and leg vein thrombosis, despite the insertion of a temporary vena cava filter. So the opinion that the insertion of inferior vena cava filters always prevents lethal pulmonary embolism caused by thrombi of the deep vein system must be revised.

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The short-term efficacy of vena cava filters for the prevention of pulmonary embolism in patients with venous thromboembolism receiving anticoagulation: Meta-analysis of randomized controlled trials

Phlebology The Journal of Venous Disease ◽

10.1177/0268355516669004 ◽

2016 ◽

Vol 32 (9) ◽

pp. 620-627 ◽

Cited By ~ 3

Author(s):

Jun Jiang ◽

Yuanyong Jiao ◽

Xiwei Zhang

Keyword(s):

Pulmonary Embolism ◽

Deep Vein Thrombosis ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Vein Thrombosis ◽

Randomized Controlled ◽

Inferior Vena Cava Filters ◽

Vena Cava Filters ◽

Deep Vein

Objectives To perform a meta-analysis of randomized controlled trials assessing the effectiveness of inferior vena cava filters in patients with deep vein thrombosis for preventing pulmonary embolism. Method Relevant randomized controlled trials of inferior vena cava filters for the prevention of pulmonary embolism were identified by searching electronic databases updated in February 2016. Relative risks of recurrent pulmonary embolism, recurrent deep vein thrombosis, and mortality at three months were analyzed. Results Three published randomized controlled trials were included involving a total of 863 deep vein thrombosis patients. No significant differences were detected with inferior vena cava filters placement with regard to the incidence of recurrent pulmonary embolism or fatal pulmonary embolism. There were also no significant differences in the incidence of recurrent deep vein thrombosis or mortality with inferior vena cava filters placement at three months. Conclusions Inferior vena cava filter in addition to anticoagulation was not associated with a reduction in the incidence of recurrent pulmonary embolism as compared with anticoagulation alone in patients with deep vein thrombosis in the short term.

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