Role of Prophylactic Vena Cava Filters for the Prevention of Pulmonary Embolism in Trauma Patients

2012 ◽  
Vol 2 (7) ◽  
Author(s):  
Kyle J. Jeray
Keyword(s):  
Pulmonary Embolism ◽  
Vena Cava ◽  
Trauma Patients ◽  
Vena Cava Filters

THE ROLE OF RETRIEVABLE VENA CAVA FILTERS IN PREVENTING PULMONARY EMBOLISM IN TRAUMA PATIENTS: A CAUTIONARY TALE

2005 ◽  
Vol 59 (2) ◽  
pp. 519
Author(s):  
Jared L. Antevil ◽  
Michael J. Sise ◽  
Kevin J. Sasadeusz ◽  
Daniel I. Sack ◽  
Barbara R. Lome ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Vena Cava ◽  
Trauma Patients ◽  
Cautionary Tale ◽  
Vena Cava Filters

Retrievable Vena Cava Filters for Preventing Pulmonary Embolism in Trauma Patients: A Cautionary Tale

2006 ◽  
Vol 60 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Jared L. Antevil ◽  
Michael J. Sise ◽  
Daniel I. Sack ◽  
Kevin J. Sasadeusz ◽  
Sophia M. Swanson ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Vena Cava ◽  
Trauma Patients ◽  
Cautionary Tale ◽  
Vena Cava Filters

Increased use of prophylactic vena cava filters in trauma patients failed to decrease overall incidence of pulmonary embolism

1999 ◽  
Vol 189 (3) ◽  
pp. 314-320 ◽  
Author(s):  
Addison L McMurtry ◽  
John T Owings ◽  
John T Anderson ◽  
Felix D Battistella ◽  
Robert Gosselin
Keyword(s):  
Pulmonary Embolism ◽  
Vena Cava ◽  
Trauma Patients ◽  
Vena Cava Filters

Retrievable vena cava filters in trauma patients for high-risk prophylaxis and prevention of pulmonary embolism

2005 ◽  
Vol 189 (6) ◽  
pp. 656-661 ◽  
Author(s):  
Todd L. Allen ◽  
Jody L. Carter ◽  
Brad J. Morris ◽  
Colleen P. Harker ◽  
Mark H. Stevens
Keyword(s):  
Pulmonary Embolism ◽  
High Risk ◽  
Vena Cava ◽  
Trauma Patients ◽  
Vena Cava Filters

scholarly journals The question of whether vena cava filters have a role in trauma patients remains unanswered

2021 ◽  
Vol 64 (2) ◽  
pp. E244-E245
Author(s):  
Ian M. Ball ◽  
Mason Curtis ◽  
Neil Parry ◽  
Fran Priestap ◽  
Kelly N. Vogt
Keyword(s):  
Pulmonary Embolism ◽  
High Risk ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Trauma Patients ◽  
Difficult Question ◽  
Inferior Vena Cava Filters ◽  
Vena Cava Filters

Whether to temporarily place retrievable inferior vena cava filters for prophylaxis against pulmonary embolism in high-risk trauma patients has been a difficult question to answer. Guidelines regarding the management of these patients are mixed in their recommendations. The question merits further attention.

“Death Knell” for Prophylactic Vena Cava Filters? A 20-Year Experience with a Venous Thromboembolism Guideline

2019 ◽  
Vol 85 (8) ◽  
pp. 806-812
Author(s):  
Rathna Shenoy ◽  
Kyle W. Cunningham ◽  
Samuel Wade Ross ◽  
A. Britton Christmas ◽  
Bradley W. Thomas ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Venous Thromboembolism ◽  
Univariate Analysis ◽  
Vena Cava ◽  
Trauma Patients ◽  
Vein Thrombosis ◽  
Vena Cava Filters ◽  
Level I ◽  
Deep Vein

The role of prophylactic vena cava filters (pVCFs) in trauma patients remains controversial. After 20 years of data collection and experience, we reviewed our venous thromboembolism guideline for the efficacy of pVCFs in preventing pulmonary embolism (PE). A retrospective cohort study was performed using our Level I trauma center registry from January 1997 thru December 2016. This population was then divided by the presence of pVCFs. Univariate analysis was performed comparing the incidence of PEs, deep vein thrombosis, and mortality between those with and without a pVCF. There were 35,658 patients identified, of whom 2 per cent (n = 847) received pVCFs. The PE rate was 0.4 per cent in both groups. The deep vein thrombosis rate for pVCFs was 3.9 per cent compared with 0.6 per cent in the no-VCF group ( P < 0.0001). Given that there was no difference in the rates of PEs between the cohorts, the subset of patients with a PE were analyzed by their risk factors. Only ventilator days > 3 were associated with a higher risk in the no-pVCF group (0.2 vs 1.5%, P = 0.033). pVCFs did not confer benefit reducing PE rate. In addition, despite their intended purpose, pVCFs cannot eliminate PEs in high-risk trauma patients, suggesting a lack of utility for prophylaxis in this population.

Towards the Optimal Placement of Inferior Vena Cava Filters: Modeling the Impact of Renal Inflow

2009 ◽  
Author(s):  
Michael A. Singer ◽  
William D. Henshaw ◽  
Stephen L. Wang
Keyword(s):  
Pulmonary Embolism ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Optimal Placement ◽  
Trauma Patients ◽  
Vein Thrombosis ◽  
Ivc Filters ◽  
Vena Cava Filters ◽  
The Impact

The endovascular deployment of inferior vena cava (IVC) filters is a clinical treatment for the prevention of pulmonary embolism due to deep vein thrombosis. In addition, IVC filters are used routinely for prophylactic purposes in patients who are at high risk of developing pulmonary embolism, e.g., trauma patients. There are approximately eight IVC filters available in the U.S., each with a unique design.

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