Document Detail

Improving the tracking and removal of retrievable inferior vena cava filters.
MedLine Citation:
PMID:  22379282     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Therapeutic and prophylactic inferior vena cava (IVC) filters should be placed based on currently accepted indications to prevent a fatal pulmonary embolism (PE). The protective effect of filters is offset by the potential for lower extremity deep venous thrombosis (DVT), caval thrombosis, and possible otherwise unnecessary life-long anticoagulation (AC). The duration of treatment for most DVTs or PEs is 3 to 6 months of AC/filter. Filters should be retrieved when duration of treatment for a DVT/PE has been met, the risk of a PE is no longer high, and/or there is no longer a contraindication to AC. An effective system that leads to improving the retrieval rate of filters must include education of the patient, a tracking system to minimize patient lost to follow-up, and dedicated personnel to oversee the process. If these goals are accomplished, interventionalists can help decrease the incidence of a fatal PE during the high-risk period, and also decrease the risk of a DVT or the use of otherwise unnecessary life-long AC in subsequent years. Currently, there is much room for improvement in the frequency that IVCF patients are systematically followed and filters are retrieved. The principles discussed in this report will be helpful in this process.
Anthony D Goei; Shellie C Josephs; Thomas B Kinney; Charles E Ray; David Sacks
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in interventional radiology     Volume:  28     ISSN:  1098-8963     ISO Abbreviation:  Semin Intervent Radiol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2012-03-01     Completed Date:  2012-08-23     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8510974     Medline TA:  Semin Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  118-27     Citation Subset:  -    
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