Immediate and delayed complications of inferior vena cava filters

Ramakrishnan, Ganesh; Willie-Permor, Daniel; Yei, Kevin S.; Nejim, Besma; Enuma, Zachary; Gasparis, Antonios P.; Malas, Mahmoud B.

doi:10.1016/j.jvsv.2022.08.011

Cited by 12 publications

(11 citation statements)

References 28 publications

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“…An analysis of 14,784 patients identified immediate and delayed complications in 1.8% and 3.1% of patients, respectively, during a medium follow-up period of 11 months, but these complications were not associated with increased mortality. 6 The Society of Interventional Radiology defined IVC penetration as extension of the filter elements >3 mm beyond the lumen of the IVC, and most of these patients are asymptomatic. 7 Zhou et al 8 performed a retrospective study of patients who underwent Celect IVC filter placements and the rate of penetration by CT evaluation was 39% within 30 days and 80% within 90 days.…”

Section: Discussionmentioning

confidence: 99%

Conservative Management of Duodenal Penetration by Inferior Vena Cava Filter: Case Report and Review

Ramachandran,

Kumar,

Grantham

et al. 2023

Journal of Investigative Medicine High Impact Case Reports

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Section: Discussionmentioning

confidence: 99%

Conservative Management of Duodenal Penetration by Inferior Vena Cava Filter: Case Report and Review

Ramachandran,

Kumar,

Grantham

et al. 2023

Journal of Investigative Medicine High Impact Case Reports

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“…The increased use of IVC filter has been accompanied by a rise in the number of filter-related complications. [2][3][4] The risk factors for IVC filter tilt tend to be multifaceted, with vascular access being recognized as a considerable risk. Ideally, the filter should be inserted without any filter tilt.…”

Section: Discussionmentioning

confidence: 99%

“…Filter perforation has been reported with a prevalence of 0-41%, particularly in patients with conical IVC filters. 1,4 However, the mechanism of penetration remains not well elucidated, and IVC filter tilt has been shown to be associated with the potential risk of penetration and filter retrieval outcome. 1,2,5 IVC filters can be temporary or permanent, 4,5 and are typically delivered through the vascular access of internal jugular veins (IJVs) or femoral veins (FVs), ideally in the infrarenal IVC.…”

Section: Introductionmentioning

confidence: 99%

“…1,4 However, the mechanism of penetration remains not well elucidated, and IVC filter tilt has been shown to be associated with the potential risk of penetration and filter retrieval outcome. 1,2,5 IVC filters can be temporary or permanent, 4,5 and are typically delivered through the vascular access of internal jugular veins (IJVs) or femoral veins (FVs), ideally in the infrarenal IVC. 5 The anatomic configuration of the IVC is considered a risk factor for filter tilt.…”

Section: Introductionmentioning

confidence: 99%

“…IVC filters can be temporary or permanent, 4,5 and are typically delivered through the vascular access of internal jugular veins (IJVs) or femoral veins (FVs), ideally in the infrarenal IVC. 5 The anatomic configuration of the IVC is considered a risk factor for filter tilt.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between vascular access and angulation of vena cava filter at placement and retrieval: a multicenter retrospective cohort study

Gong,

Jiang,

Zhao

et al. 2023

Therapeutic Advances in Chronic Disease

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Background: Inferior vena cava (IVC) filters are commonly used intravascular devices designed to prevent fatal pulmonary embolism (PE), maintaining the IVC filter as centered as possible is fundamental for achieving its filtration function. Objective: This study aimed to characterize the tilt angles of IVC filter between the vascular access of internal jugular vein (IJV) and femoral vein (FV), as well as to identify factors associated with increased or decreased tilt angles between placement and retrieval. Design: This is a multicenter retrospective study. Methods: A multicenter retrospective study was conducted from October 2017 to March 2019. The primary outcome was the change in filter tilt between placement and retrieval. The secondary outcome was the identifications of factors associated with increased or decreased tilt angle. Relevant variables were analyzed using t-tests, Chi-square tests, Fisher’s exact tests, while multivariate logistic regression analysis was used to determine risk factors. Results: A total of 184 eligible patients were included in this study. The IJV group had a lower likelihood of tilt angle over 10° at the time of placement compared to the FVs group (0% versus 12.5%, p = 0.040). Among the 171 patients with a mean dwell time of 22.1 days, the IJV group had a higher likelihood of tilt angle over 10° than the FVs group (10.3% versus 2.3%, p = 0.080). The use of FVs access at placement was associated with a higher difference between placement and retrieval filter tilt angles ( p < 0.01). Multivariate logistic regression analysis showed that hypertension [odds ratio (OR) 0.668; 95% confidence interval (CI) 0.328–1.358, p = 0.265], cardiologic artery disease (OR 0.537; 95% CI 0.136–2.130, p = 0.377), cerebral venous disease (OR 0.555; 95% CI 0.186–1.651, p = 0.290), filter types (OR 1.624; 95% CI 0.851–3.096, p = 0.141), and IVC filter thrombosis (OR 1.634; 95% CI 0.804–3.323, p = 0.175) were not associated with increased filter tilt angle. Right side (OR 0.434; 95% CI 0.202–0.930, p = 0.032) or bilateral lower extremity deep vein thrombosis (LEDVT) (OR 0.383; 95% CI 0.148–0.995, p = 0.049) were identified as protective factors. Conclusion: IJV access was associated with a lower filter tilt angle at the time of placement, while FVs access was linked to a higher difference between placement and retrieval tilt angles. Right side or bilateral LEDVT were identified as protective factors against increased IVC filter tilt angle.

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