A Multicenter Cohort Study of Inferior Vena Cava Filter Use in Children

Abstract

IVC filter placement in pediatric patients remains a rare event and is most common in adolescents. Unlike in adults, pediatric IVC filter placement does not appear to be increasing over time and is predominantly used in the setting of a venous thrombotic event.

Prevalence and risk factors for venous thromboembolism in children with sickle cell disease: an administrative database study

“…Data reliability and quality are assured through a joint effort between the participating hospitals and the Children's Hospital Association. 19,20 Data are deidentified at the time of submission and subject to a number of validity and reliability checks before being included in the dataset. For the purpose of this study, data from all 48 participating hospitals were included.…”

How We Manage Pediatric Deep Venous Thrombosis

“…In addition, the Society of Interventional Radiology supports the prophylactic use IVC filters in certain high-risk situations, such as severe trauma. 95 A recent multicenter study on the use of IVC filters in children across tertiary care centers in the United States found that the placement of filters remains a relatively uncommon intervention in pediatric VTE (mean yearly incidence of 6 per 100,000 admissions). 95 This study found that, unlike adult patients in whom the majority of filters are placed for prophylactic indications (i.e., after severe trauma, malignancy, or orthopedic surgery), only a small proportion of IVC filters ($24%) are placed prophylactically in children.…”

“…95 A recent multicenter study on the use of IVC filters in children across tertiary care centers in the United States found that the placement of filters remains a relatively uncommon intervention in pediatric VTE (mean yearly incidence of 6 per 100,000 admissions). 95 This study found that, unlike adult patients in whom the majority of filters are placed for prophylactic indications (i.e., after severe trauma, malignancy, or orthopedic surgery), only a small proportion of IVC filters ($24%) are placed prophylactically in children. The majority of IVC filters in the pediatric population were used in adolescent patients with either a lower extremity DVT or PE and contraindications for anticoagulation.…”

“…The majority of IVC filters in the pediatric population were used in adolescent patients with either a lower extremity DVT or PE and contraindications for anticoagulation. 95 IVC filters should be placed and removed by an experienced interventional radiologists trained in the use of these devices. Acute complications related to filter placement include bleeding at the insertion site, infection, pneumothorax, IVC injury, and failure of filter deployment.…”

“…Removal of the device should occur as soon as possible to minimize the risk of long-term complications. 95,96…”