Document Detail


Improving inferior vena cava filter retrieval rates: impact of a dedicated inferior vena cava filter clinic.
MedLine Citation:
PMID:  21035356     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To test the hypothesis that an inferior vena cava (IVC) filter clinic increases the retrieval rate of optional IVC filters.
MATERIALS AND METHODS: Patients who had optional IVC filters placed at the authors' institution between January 2000 and December 2008 were identified and retrospectively studied. A dedicated IVC filter clinic was established at this institution in January 2009, and there is a comprehensive database of prospectively acquired data for patients seen in the IVC filter clinic. Patients were chronologically classified into preclinic and postclinic groups. The number of optional filters retrieved and failed retrieval attempts were recorded.
RESULTS: In the preclinic and postclinic periods, 369 and 100 optional IVC filters were placed. Median (interquartile range) number of optional filters placed per month for preclinic and postclinic periods was 3 (range 2-5) and 10 (range 6.5-10.5) (P < .001). Retrieval rates in preclinic and postclinic periods were 108 of 369 (29%) and 60 of 100 (60%) (P < .001). The median time to filter retrieval in the postclinic group was 1.5 months (95% confidence interval 1.2-1.8). The number of failed retrieval attempts in preclinic and postclinic periods was 23 of 369 (6%) and 5 of 100 (5%) (P = .823).
CONCLUSIONS: The retrieval rate of optional IVC filters at this institution was significantly increased by the establishment of a dedicated IVC filter clinic. This retrieval increase is not related to a decrease in technical failures but more likely relates to more meticulous patient management and clinical follow-up.
Authors:
Jeet Minocha; Ibrahim Idakoji; Ahsun Riaz; Jennifer Karp; Ramona Gupta; Howard B Chrisman; Riad Salem; Robert K Ryu; Robert J Lewandowski
Related Documents :
15339876 - Long-term management of patients after venous thromboembolism.
18340326 - Periprocedural management of the chronically anticoagulated patient: critical pathways ...
1873036 - Coumarin anticoagulation during pregnancy in patients with mechanical valve prostheses.
23015346 - Incidence and management of late postsurgical seizures in clinical practice.
18556986 - Clinical results using bioabsorbable staple line reinforcement for circular staplers.
22732876 - Increased adenoma detection rate with system-wide implementation of a split-dose prepar...
Publication Detail:
Type:  Journal Article     Date:  2010-10-28
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  21     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-29     Completed Date:  2011-03-10     Revised Date:  2011-12-01    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1847-51     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 SIR. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Radiology, Northwestern University, Chicago, IL 60611, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Ambulatory Care Facilities*
Chi-Square Distribution
Chicago
Databases as Topic
Device Removal* / adverse effects
Female
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Prosthesis Design
Radiography, Interventional
Retrospective Studies
Thromboembolism / etiology,  prevention & control*
Time Factors
Vena Cava Filters* / adverse effects
Venous Thrombosis / complications,  therapy*
Young Adult
Comments/Corrections
Comment In:
J Vasc Interv Radiol. 2011 Nov;22(11):1512-3   [PMID:  22024112 ]

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


Previous Document:  The role of cytokines and chemokines in severe respiratory syncytial virus infection and subsequent ...
Next Document:  Treatment of postoperative hemorrhage with venous embolization.