Document Detail


Audit of the use of IVC filters in the UK: experience from three centres over 12 years.
MedLine Citation:
PMID:  19348846     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To audit the use of inferior vena cava (IVC) filter insertions at three UK centres over 12 years to assess whether trends in filter use in the UK mirrored those seen elsewhere. MATERIALS AND METHODS: Radiology department databases were interrogated for IVC filter insertions and removals between 1994 and 2006. Reports for these interventions, along with prior and subsequent imaging reports, were analysed. Follow-up data were obtained when available. RESULTS: Five hundred and sixteen filters were placed with a significant year-on-year trend towards increasing use. Fifty-seven percent of filters placed were for absolute indications and 37% for relative indications. The filters were used for prophylaxis in 6% of patients in the absence of proven pulmonary embolism (PE) or deep vein thrombosis (DVT). A retrievable filter was used in 74% of cases with retrieval attempted in 40% of these and no evidence of an increasing rate of retrieval over time. A significant complication related to insertion or retrieval was encountered in 0.4 and 1% of procedures, respectively. Mean 24 h and 30 day mortalities were 1 and 8%, respectively. There was an absence of organized follow-up at all three centres. CONCLUSION: IVC filter use in the UK is increasing. The use of retrievable filters has not resulted in increased filter retrieval. Filter insertion and retrieval is associated with a low risk of significant complication, but lack of systematic follow-up limits conclusions regarding safety and efficacy.
Authors:
C J Hammond; D R Bakshi; R J Currie; J V Patel; D Kinsella; R G McWilliams; A Watkinson; A A Nicholson
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2009-03-09
Journal Detail:
Title:  Clinical radiology     Volume:  64     ISSN:  1365-229X     ISO Abbreviation:  Clin Radiol     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-07     Completed Date:  2009-05-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  502-10     Citation Subset:  IM    
Affiliation:
Leeds General Infirmary, Leeds, UK. chris.hammond@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Decision Making
Device Removal / mortality,  trends,  utilization*
Female
Great Britain
Humans
Male
Medical Audit
Middle Aged
Prosthesis Implantation / adverse effects,  mortality,  trends
Pulmonary Embolism / prevention & control,  radiography
Treatment Outcome
Vena Cava Filters / adverse effects,  utilization*
Vena Cava, Inferior / radiography,  surgery
Venous Thrombosis / prevention & control,  radiography
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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