Inferior Vena Cava Filters in Pregnancy: A Systematic Review

Harris, Sally A.; Velineni, Rahul; Davies, Alun H.

doi:10.1016/j.jvir.2015.11.024

Cited by 71 publications

(59 citation statements)

References 44 publications

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“…Placement and retrieval of an inferior vena cava (IVC) filter in pregnancy can be particularly challenging because the gravid uterus distorts the anatomy of the IVC, and carries the theoretical risk of filter migration or fracture due to venous dilation or exertion during labor. 106 The IVC complication rate in a systematic review of 80 pregnant patients who received IVC filter was 8.87%. 106 No fetal morbidity or mortality was reported, with the primary risk to the fetus being radiation exposure.…”

Section: Vte Diagnosed <30 Days From Expected Deliverymentioning

confidence: 99%

“…106 The IVC complication rate in a systematic review of 80 pregnant patients who received IVC filter was 8.87%. 106 No fetal morbidity or mortality was reported, with the primary risk to the fetus being radiation exposure. 106 In patients with a DVT or PE diagnosed near term (37 weeks of gestation or greater) who are estimated to receive less than 14 days of anticoagulation, we prefer to place a retrievable IVC filter with a planned induction of labor.…”

Section: Vte Diagnosed <30 Days From Expected Deliverymentioning

confidence: 99%

“…106 No fetal morbidity or mortality was reported, with the primary risk to the fetus being radiation exposure. 106 In patients with a DVT or PE diagnosed near term (37 weeks of gestation or greater) who are estimated to receive less than 14 days of anticoagulation, we prefer to place a retrievable IVC filter with a planned induction of labor. 106 Postpartum, LMWH can be resumed in split Q12H doses, starting 6 hours after delivery (►Fig.…”

Section: Vte Diagnosed <30 Days From Expected Deliverymentioning

confidence: 99%

“…In a systematic review of 80 pregnant patients, the failure-to-retrieve rate of IVC filters was 11.25%. 106 In patients with a DVT or PE who are estimated to receive between 14 and 30 days of anticoagulation before expected delivery, we do not routinely place IVC filters, and instead use a strategy with induction of labor and the shorter-acting anticoagulant UFH. Patients should be admitted to hospital and LMWH replaced with intravenous heparin before starting induction.…”

Section: Vte Diagnosed <30 Days From Expected Deliverymentioning

confidence: 99%

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Pulmonary Complications of Pregnancy: Venous Thromboembolism

Skeith

Rodger

2017

Semin Respir Crit Care Med

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Unique considerations are needed when diagnosing and treating venous thromboembolism (VTE) in women who are pregnant or postpartum. What are the risks to the fetus, such as drug exposure or the risk of radiation with diagnostic imaging? How does the physiology of pregnancy affect imaging techniques and anticoagulation management? How should anticoagulation be managed around labor and delivery? These questions highlight some of the important considerations needed when managing a pregnant patient with suspected or confirmed VTE. This review outlines what is known about the epidemiology, pathophysiology, clinical risk factors, diagnosis, and therapeutic management of VTE in pregnancy. We also review our preferred diagnostic and treatment algorithm for a pregnant patient with suspected or confirmed VTE.

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Section: Vte Diagnosed <30 Days From Expected Deliverymentioning

confidence: 99%

Section: Vte Diagnosed <30 Days From Expected Deliverymentioning

confidence: 99%

Section: Vte Diagnosed <30 Days From Expected Deliverymentioning

confidence: 99%

Section: Vte Diagnosed <30 Days From Expected Deliverymentioning

confidence: 99%

See 2 more Smart Citations

Pulmonary Complications of Pregnancy: Venous Thromboembolism

Skeith

Rodger

2017

Semin Respir Crit Care Med

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“…Both suprarenal and infrarenal positioning can be used, although there are more theoretical benefits with the suprarenal placement. 31 For women undergoing cesarean delivery without additional risk factors for VTE, the American College of Chest Physicians (ACCP) recommendations suggest no prophylaxis. For women with one major or two minor risk factors (►Table 2), pharmacologic prophylaxis is recommended.…”

Section: Prophylaxis Techniquesmentioning

confidence: 99%

Venous Thromboembolism and Route of Delivery – Review of the Literature

Evangelista

Slompo

Timi

2018

Rev Bras Ginecol Obstet

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Venous thromboembolism events are important causes of maternal death during pregnancy and the postpartum period worldwide. A review of the literature with the objective of evaluating venous thromboembolism events in the puerperium according to the route of delivery was performed through a bibliographic survey in the Medline, LILACS and Scielo databases. We observed that patients submitted to cesarean sections present a significantly higher risk of developing venous thromboembolism when compared with those who undergo spontaneous vaginal delivery. The pathophysiological bases for this difference were explored and described in this review, as well as the indications of prophylaxis and treatment. Doctors and health professionals must be continuously vigilant regarding this condition, since it is associated with high morbidity and mortality.

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Interventional Radiology in Pregnancy

Pimpalwar

Belfort

2018

Critical Care Obstetrics

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Inferior Vena Cava Filters in Pregnancy: A Systematic Review

Cited by 71 publications

References 44 publications

Pulmonary Complications of Pregnancy: Venous Thromboembolism

Pulmonary Complications of Pregnancy: Venous Thromboembolism

Venous Thromboembolism and Route of Delivery – Review of the Literature

Interventional Radiology in Pregnancy

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