Complications of indwelling retrievable versus permanent inferior vena cava filters

Desai, Tina R.; Morcos, Omar; Lind, Benjamin; Schindler, Nancy; Caprini, Joseph A.; Hahn, D; Warner, David L.; Gupta, Navyash

doi:10.1016/j.jvsv.2013.10.050

Cited by 40 publications

(36 citation statements)

References 17 publications

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“…11,24 In a review of the Food and Drug Administration's own Manufacturer and User Facility Device Experience database, Andreoli et al 25 reported that ≈87% of user-reported adverse events were associated with rIVCFs, as opposed to ≈13% associated with permanent inferior vena cava filters. Similarly, a retrospective review by Desai et al 26 found a complication rate of 9% in a series of 449 rIVCFs. Furthermore, studies have demonstrated that device-related rIVCF complications are positively associated with dwell time.…”

Section: Discussionmentioning

confidence: 86%

Defining Prolonged Dwell Time: When Are Advanced Inferior Vena Cava Filter Retrieval Techniques Necessary?

Desai

Laws

Salem

et al. 2017

Circ: Cardiovascular Interventions

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Background— Despite growth in placement of retrievable inferior vena cava filters, retrieval rates remain low. Filters with extended implantation times present a challenge to retrieval, where standard techniques often fail. The development of advanced retrieval techniques has positively impacted retrieval of retrievable inferior vena cava filters with prolonged dwell times; however, there is no precise definition of the time point when advanced techniques become necessary. We aim to define prolonged retrievable inferior vena cava filters dwell time by determining the inflection point when the risk of standard retrieval technique failure increases significantly, necessitating advanced retrieval techniques to maintain overall technical success of retrieval. Methods and Results— From January 2009 to April 2015, 762 retrieval procedures were identified from a prospectively acquired database. We assessed patient age/sex, filter dwell time, procedural technical success, the use of advanced techniques, and procedure-related adverse events. Overall retrieval success rate was 98% (n=745). When standard retrieval techniques failed, advanced techniques were used; this was necessary 18% of the time (n=138). Logistic regression identified that dwell time was the only risk factor for failure of standard retrieval technique (odds ratio, 1.08; 95% confidence interval, 1.05–1.10; P <0.001). Spline function regression analysis demonstrated that if dwell time exceeded 7 months, the risk of standard technique failure was 40.9%. Adverse events occurred at a rate of 2% (n=18; 15 minor and 3 major). Conclusions— The necessity of advanced techniques to maintain technical success of retrieval increases with dwell time. Patients with retrievable inferior vena cava filters in place beyond 7 months may benefit from referral to centers with expertise in advanced filter retrieval.

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Section: Discussionmentioning

confidence: 86%

Defining Prolonged Dwell Time: When Are Advanced Inferior Vena Cava Filter Retrieval Techniques Necessary?

Desai

Laws

Salem

et al. 2017

Circ: Cardiovascular Interventions

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“…The Bird's nest filter has not had any MRI documented migration, however, it was noted that the significant artifact caused by the filter limits visualization (9). In a comparison of retrievable versus permanent filters, migration was found two times more with permanent filters (19). Migration of the filter into the cardiopulmonary system ( Figure 2) requires immediate intervention as this can have fatal consequences.…”

Section: Filter Migrationmentioning

confidence: 99%

“…However, this represents pooled retrospective data as no prospective randomized studies have been done. Retrievable filters have been shown to have a higher incidence when compared to permanent filters (19). No significant difference exists in patients with or without malignancy (34).…”

Section: Thrombosismentioning

confidence: 99%

“…Patients may be asymptomatic or have associated edema and skin changes. Retrievable filters were thought to be a solution to this complication, however, due to only a minority of filters being removed, the incidence of DVT is comparable to that of permanent filters (17,19). Across device types, VenaTech (B. Braun Medical Inc., Evanston, IL, USA), TrapEase, and ALN have the highest incidence rates and the Gunther Tulip the lowest (9,12).…”

Section: Thrombosismentioning

confidence: 99%

“…A study performed of Celect filters found a progressive increase in perforation rates with a 43% increase from initial to final CT scan (41). Retrievable filters have been found to have higher rates of perforation than the permanent filters, particularly when the retrievable filters are left in place longer than anticipated (19). Patients are usually asymptomatic.…”

Section: Perforationmentioning

confidence: 99%

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Complications of inferior vena cava filters

Grewal¹,

Chamarthy²,

Kalva³

2016

Cardiovasc. Diagn. Ther.

129

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Inferior vena cava (IVC) filter placement is a relatively low risk alternative for prophylaxis against pulmonary embolism in patients with pelvic or lower extremity deep venous thrombosis who are not suitable for anticoagulation. There is an increasing trend in the number of IVC filter implantation procedures performed every year. There are many device types in the market and in the early 2000s, the introduction of retrievable filters brought an additional subset of complications to consider. Modern filter designs have led to decreased morbidity and mortality, however, a thorough understanding of the limitations and complications of IVC filters is necessary to weight the risks and benefits of placing IVC filters. In this review, the complications associated with IVC filters are divided into procedure related, post-procedure, and retrieval complications. Differences amongst the device types and retrievable filters are described, though this is limited by a significant lack of prospective studies. Additionally, the clinical presentation as well as prevention and treatment strategies are outlined with each complication type.

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Infected aortic pseudoaneurysm caused by an inferior vena cava filter

Fukasawa

Kameyama

Tsukada

et al. 2022

Acute Medicine & Surgery

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Background Inferior vena cava filters are widely used to prevent pulmonary embolism, but they can cause serious complications. Case Presentation A 45‐year‐old man with multiple abscesses was transferred to the emergency department from another hospital. Computed tomography revealed bilateral subscapular abscesses, septic pulmonary embolism, and an abdominal aortic pseudoaneurysm with an abscess at the site of the inferior vena cava filter limb inserted 12 years before. After admission to our hospital, surgical drainage of the bilateral subscapular and right wrist joint abscesses was performed; subsequent treatment with ampicillin improved the patient's condition. Inflammation resolved on the 19th hospitalization day, and abdominal aortic replacement surgery was performed. The patient's postoperative course was uneventful. He returned to the previous hospital for rehabilitation after 40 days of hospitalization. Conclusion Inferior vena cava filters could cause serious complications.

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Complications of indwelling retrievable versus permanent inferior vena cava filters

Cited by 40 publications

References 17 publications

Defining Prolonged Dwell Time: When Are Advanced Inferior Vena Cava Filter Retrieval Techniques Necessary?

Defining Prolonged Dwell Time: When Are Advanced Inferior Vena Cava Filter Retrieval Techniques Necessary?

Complications of inferior vena cava filters

Infected aortic pseudoaneurysm caused by an inferior vena cava filter

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