Practice Patterns and Outcomes of Retrievable Vena Cava Filters in Trauma Patients: An AAST Multicenter Study

Karmy-Jones, Riyad; Jurkovich, Gregory J.; Velmahos, George C.; Burdick, Thomas; Spaniolas, Konstantinos; Todd, Stephanie; McNally, Michael P.; Jacoby, Robert C.; Link, Daniel P.; Janczyk, Randy J.; Ivascu, Felicia A.; McCann, Michael T.; Obeid, Farouck N.; Hoff, William S.; McQuay, Nathaniel; Tieu, Brandon H.; Schreiber, Martin A.; Nirula, Ram; Brasel, Karen J.; Dunn, Julie; Gambrell, Debbie; Huckfeldt, Roger; Harper, J. S.; Schaffer, Kathryn B.; Tominaga, Gail T.; Vinces, Fausto; Sperling, David; Hoyt, David B.; Coimbra, Raúl; Rosengart, M.R.; R, Forsythe; Cothren, Clay C.; Moore, Ernest E.; Haut, Elliott R.; Hayanga, Awori J.; Hird, Linda; White, Christopher E.; Grossman, Jodi; Nagy, Kimberly; Livaudais, West; Wood, Rhonda; Zengerink, Imme; Kortbeek, John B.

doi:10.1097/ta.0b013e31802dd72a

Cited by 205 publications

(105 citation statements)

References 37 publications

(51 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The largest study to date on retrievable filters in trauma patients was done by the American Association for the Surgery of Trauma. 26 The incidence of new PE after filter placement was 0.5%, which compares favorably with permanent filter recipients (PE 0.7%) and historical controls (2.1%). 27 OptEase filters were more commonly associated with caval thrombosis.…”

Section: Traumamentioning

confidence: 72%

See 1 more Smart Citation

Retrievable vena cava filters: A clinical review

Tschoe

Brotman

Streiff

2009

Journal of Hospital Medicine

View full text Add to dashboard Cite

Vena cava filters were developed as a method of preventing pulmonary embolism (PE) in patients with venous thromboembolism (VTE) at risk for bleeding from therapeutic anticoagulation. However, the long‐term complications of filter placement, such as caval thrombosis, have mitigated some of the benefits, particularly in those patients with only a temporary contraindication to anticoagulation. Retrievable filters were designed to avoid the long‐term risks of a permanent filter while still providing short‐term protection against PE. As a result, their use has expanded from patients with known thrombosis to those without VTE who are at high risk for developing PE. In this review, we discuss the different types of retrievable filters, indications for their placement, complications that can occur during and after placement, and their use as prophylaxis in surgical patients. Although the use of retrievable filters in patients with known VTE is clear, further studies are needed to establish their prophylactic efficacy in the surgical patient. Until this evidence is available, we recommend that retrievable filters should be used only in patients with acute VTE who are at risk for recurrent thromboembolism and have a transient risk for bleeding. Journal of Hospital Medicine 2009;4:441–448. © 2009 Society of Hospital Medicine.

show abstract

Section: Traumamentioning

confidence: 72%

“…The Recovery filter was taken off the market due in part to concerns about migration. 26 As the use of retrievable filters increases, complications related to filters will need to be monitored.…”

Section: Other Adverse Eventsmentioning

confidence: 99%

Retrievable vena cava filters: A clinical review

Tschoe

Brotman

Streiff

2009

Journal of Hospital Medicine

View full text Add to dashboard Cite

show abstract

“…For patients with DVT, IPC is withheld, but intra-and postoperative compression stockings can be used and I.V. heparin sodium administered preoperatively and for 5-7 days postoperatively in a dose adjusted for an aPTT of 1.5 to 2.5 times control (Holford 1976;Karmy-Jones et al 2007;Kim et al 2008).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Deep-Vein Thrombosis and Pulmonary Thromboembolism in Benign Ovarian Tumor

Shiota

Kotani

Umemoto

et al. 2011

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

Pulmonary thromboembolism (PE) is a serious postoperative complication. Reported rates of PE following gynecologic surgery are between 0.3% and 0.8%, with deep-vein thrombosis (DVT) as the major cause (via seeding of the lungs). Benign ovarian tumors are treated principally by surgery. Possible risk factors for DVT and PE in patients with benign ovarian tumors include tumor size, patient age, and obesity. To date, however, there has been no report addressing the association of these risk factors in patients with benign ovarian tumors. This study offers a retrospective analysis of the incident of preoperative DVT by age, tumor size, and BMI in patients undergoing surgery for benign ovarian tumors. A total of 843 Japanese patients with a preoperative diagnosis of benign ovarian tumor who underwent tumorectomy or adnexectomy at our institution between July 2003 and December 2010 were enrolled. The incidence of preoperative DVT was monitored and statistically stratified by age (< 50 years and ≥ 50 years), largest tumor diameter (< 10 cm and ≥ 10 cm), and BMI (< 25 and ≥ 25). The result indicates that tumor diameter of ≥ 10 cm is not a risk factor for preoperative DVT in patients with benign ovarian tumor. On the other hand, age ≥ 50 years and BMI > 25 are independent risk factors for preoperative DVT in Japan. The patients with each risk factor should be treated with preoperative, intraoperative, and postoperative precautions against development of PE.

show abstract

“…It is possible that patients with an IVC filter may be less likely to be given anticoagulant thromboprophylaxis even if it is not contraindicated, and there is also the potential for inappropriate delays in the provision of effective primary thromboprophylaxis if an IVC filter is in place. In five studies of retrievable IVC filter use, the average time for filter placement was six days after injury, well beyond the highrisk period for bleeding in most patients and at a time when half of all PE would already have occurred (Gonzalez, 2006;Cothren, 2007;Karmy-Jones, 2007;Johnson, 2009). …”

Section: Durationmentioning

confidence: 99%

Prevention of Venous Thromboembolism in Individuals with Spinal Cord Injury: Clinical Practice Guidelines for Health Care Providers, 3rd ed.

2016

Topics in Spinal Cord Injury Rehabilitation

View full text Add to dashboard Cite

Practice Patterns and Outcomes of Retrievable Vena Cava Filters in Trauma Patients: An AAST Multicenter Study

Abstract: Most R-IVCFs are not retrieved. The service placing the R-IVCF should be responsible for follow up. The Optease was associated with the greatest incidence of residual thrombus and symptomatic caval occlusion. The practice patterns of R-IVCF placement and retrieval should be re-examined.

Cited by 205 publications

References 37 publications

Retrievable vena cava filters: A clinical review

Retrievable vena cava filters: A clinical review

Risk Factors for Deep-Vein Thrombosis and Pulmonary Thromboembolism in Benign Ovarian Tumor

Prevention of Venous Thromboembolism in Individuals with Spinal Cord Injury: Clinical Practice Guidelines for Health Care Providers, 3rd ed.

Contact Info

Product

Resources

About