Inferior Vena Cava Filter in Cancer Patients: On Whom Should We Be Placing Them?

Teivelis, Marcelo Passos; Schettini, Isabela Hohlenwerger; Pignataro, Bruno Soriano; Bomfim, Guilherme Andre Zottele; Centofanti, Guilherme; Fonseca, Igor Yoshio Imagawa; Krutman, Mariana; Cavalcante, Rafael; Nishinari, Kenji; Yazbek, Guilherme

doi:10.1016/j.avsg.2020.08.123

Cited by 7 publications

(2 citation statements)

References 26 publications

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“…In our context, the results underscore the robustness and reliability of IVCF placement through the internal jugular. Multidisciplinary evaluation (and possibly consideration for palliation) should take place before the decision to insert a vena cava filter in severe oncologic cases depending on overall status [8]. The rates of symptomatic pulmonary embolism and filter-related complications were low after OptionELITE IVC filter placement [9].…”

Section: Discussionmentioning

confidence: 99%

Retrograde Insertion of Inferior Vena Cava (IVC) Filter: A Bailout Plan

Gikonyo

2023

JSRP

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Venous thromboembolism poses a significant threat to patient health and remains a leading cause of preventable morbidity and mortality. To mitigate the risk of pulmonary embolism resulting from deep vein thrombosis, the insertion of an Inferior Vena Cava (IVC) filter has become a critical intervention. While several approaches are available for IVC filter placement, the internal jugular approach has gained recognition for its unique advantages. This case study provides a comprehensive examination of an 85-year-old female patient who underwent IVC filter insertion through the internal jugular approach with an indication of extensive bilateral iliac venous thrombosis, secondary to femoral vein dialysis catheter. By exploring the clinical experience and outcomes associated with this specific technique, we aim to elucidate the benefits, considerations and potential implications for future practice. Through an in-depth analysis of this case, interventional radiologists, clinicians and healthcare professionals involved in venous thromboembolism management can gain valuable insights into the safety, efficacy and patient-centered outcomes of the internal jugular approach for IVC filter insertion.

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Section: Discussionmentioning

confidence: 99%

Retrograde Insertion of Inferior Vena Cava (IVC) Filter: A Bailout Plan

Gikonyo

2023

JSRP

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“…Rather than a procedural complication, this in-hospital mortality rate reflects the clinical severity of presentation of the patients who received the IVC filters. Unfortunately, we do not have access to patients' demographics and comorbidities, which are known to strongly affect mortality in these cases, such as age, presence of pulmonary embolism associated with acute respiratory syndrome or shock (24), advanced stage cancer (25,26) and severe trauma (27), which is a limitation of our study. Nonetheless, the stable distribution of deaths following IVC filter placement over the years, observed in all regions, indicate that even though more IVC filters are being placed recently, the profile of the patients who are receiving them remains similar in terms of severity.…”

Section: Mortality Datamentioning

confidence: 99%

Epidemiology of the use of inferior vena cava filters in Brazil between 2008 and 2019

Louzada

Leiderman

Silva

et al. 2021

Preprint

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Purpose: to study the totality of inferior vena cava filters placed in the Brazilian Public Health System, which insures more than 160 million Brazilians, trends by geographic region and in-hospital deaths after filter placements and also due to pulmonary embolism between 2008 and 2019. Patients and methods: public and open data regarding in-hospital mortality due to pulmonary embolism and all inferior vena cava filters placed in Brazilian public hospitals between January 2008 and December 2019 were extracted from the Brazilian Public Health System databases. Results: 9108 inferior vena cava filters were placed, 98.18% of which was therapeutic. There was an overall increasing use of these devices, statistically significant for all Brazilian regions, except the North. In-hospital mortality rate in patients who received inferior vena cava filters was 6.21%, stable over time. We observed an upward trend in in-hospital mortality rate due to pulmonary embolism, statistically significant for all Brazilian regions, except the North. Conclusion: We observed a low standardized rate of inferior vena cava filter placements in Brazil between 2008 and 2019, but with a trend towards an increasing trend use. Almost all indications for filter placement were therapeutic. In hospital mortality in patients receiving inferior vena cava filters was high, 6.21%, and stable over time, whereas the trend of in-hospital mortality rate due to pulmonary embolism is increasing. Our findings were heterogeneous across Brazilian regions and contrasted to those observed in the USA, which is likely due to cultural and socioeconomic factors.

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Venous thromboembolism and Cancer

Yazbek

Pignataro

2022

Vascular Surgery in Oncology

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Inferior Vena Cava Filter in Cancer Patients: On Whom Should We Be Placing Them?

Cited by 7 publications

References 26 publications

Retrograde Insertion of Inferior Vena Cava (IVC) Filter: A Bailout Plan

Retrograde Insertion of Inferior Vena Cava (IVC) Filter: A Bailout Plan

Epidemiology of the use of inferior vena cava filters in Brazil between 2008 and 2019

Venous thromboembolism and Cancer

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