Relationship of Inferior Vena Cava Filter Usage in Post-Surgical Patients by Various Surgical and Medical Subspecialists

Marmor, D; Merli, Geno J.; Whellan, David J.; Andrel, Jocelyn; Fisicaro, Tamara; Shamimi-Noori, Saum; Adams, Suzanne; Rubin, Alexander; Feldman, Arthur M.

doi:10.1016/j.amjcard.2008.03.044

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…A growing number of subspecialties are placing VCFs, including vascular surgeons, general surgeons, trauma surgeons, interventional radiologists, cardiologists, and medical intensivists. 18 Marmor et al 19 showed that the rate of VCF placement within a single institution varied greatly depending on the specialty of the physician who was managing the patient. Also, the bedside placement of VCFs is making VCF available to critically ill patients who cannot tolerate being moved to a fluoroscopic unit.…”

Section: Discussionmentioning

confidence: 99%

Trends in vena caval interruption

Moore

Andrews

Craven

et al. 2010

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

Trends in vena caval interruption

Moore

Andrews

Craven

et al. 2010

Journal of Vascular Surgery

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“…Geisbüsch et al 11 mostraron también un incremento del porcentaje de filtros colocados de forma profiláctica, aunque la indicación más frecuente siguió siendo una ETEV recurrente o progresiva. Marmor et al 12 demostraron que la indicación para la colocación de un filtro de vena cava en un hospital dependía del servicio en el que se encontraba un paciente o del médico que lo trataba.…”

Section: Discussionunclassified

Cambios en la práctica clínica tras la introducción de los filtros de vena cava retirables

et al. 2013

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Recibido el 18 de junio de 2012; aceptado el 26 de septiembre de 2012 Disponible en Internet el 8 de noviembre de 2012 PALABRAS CLAVE Filtro de vena cava retirable; Filtro de vena cava permanente; Embolia pulmonar; Trombosis venosa profunda; Retirada ResumenObjetivos: Evaluar si la introducción de filtros de vena cava (FVC) retirables en nuestra institución ha comportado variaciones en el número de implantes, indicaciones o complicaciones inmediatas. Material y métodos: Pacientes consecutivos (n = 88; edad media 68; varones 46%) con TVP (n = 27, 30,7%), TEP (n = 22, 25%) o ambos (n = 39, 44,3%), en quienes se implantó un FVC por cirujanos vasculares entre 1996-2011. A partir de 2004 todos los FVC fueron potencialmente retirables (Optease/Cordis). Indicaciones: TVP/TEP recurrente/progresivo con anticoagulación correcta (n = 22, 25%), TVP/TEP con contraindicación para anticoagulación (n = 47, 53,4%), o retirada de anticoagulación tras TVP/TEP por cirugía mayor (n = 19, 21,6%). Resultados: Se implantaron 88 FVC: 33 permanentes (20 Venatech-LGM/Braun, 13 Trapesase/Cordis) y 55 retirables (Optease/Cordis). Desde la introducción de los FVC retirables, han aumentado un 40% los implantes, las indicaciones por retirada de anticoagulación tras TVP/TEP para cirugía mayor (p = 0,001), y disminuido las indicaciones por TVP/TEP recurrente/progresivo (p < 0,001). No se retiraron 31 (65%) de los FVC retirables con indicación supuestamente temporal (n = 48), siendo más probable la retirada si se implantaba por cirugía mayor (p < 0,001) y menos si era por TVP/TEP recurrente/progresivo (p = 0,06). No hubo complicaciones inmediatas asociadas al procedimiento. Conclusiones: La disponibilidad de FVC retirables ha comportado un aumento del número de implantes, sobre todo en pacientes con TVP/TEP en los que debe suspenderse la anticoagulación por cirugía mayor y en los que probablemente antes se demoraba esta hasta pasada la fase aguda del TEP/TVP. A pesar de que los FVC retirables son igualmente seguros a corto plazo, un porcentaje relevante de estos con supuesta indicación temporal no son finalmente retirados, por lo que no debería liberalizarse su indicación.

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“…Venous thromboembolism (VTE) is common and often a fatal problem in postsurgical patients. These patients are usually treated with either therapeutic anticoagulation or the placement of inferior vena cava (IVC) filters [1] ; which are an excellent therapeutic method for those patients of which anticoagulant therapy is contraindicate or ineffective [2] .…”

Section: Introductionmentioning

confidence: 99%

Inferior Vena Cava Filters: Two Years Experience in King Abdulaziz University Hospital

Jabbad

Arabia²

2010

med

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Pulmonary embolism remains a serious challenge for health care. Anticoagulation is considered the first line of treatment; however, in patients with anticoagulation failure or contraindication, inferior vena cava filter placement has been widely performed for the prevention of pulmonary embolism. This study is a retrospective review of King Abdulaziz University Hospital two years experience (2008-2009). Nineteen patients who had venous thromboembolic manifestations were subjected to inferior vena cava filter insertion. The main reasons for inferior vena cava filter insertion were the occurrence of venous thromboembolism on top of anticoagulants, and bleeding resulted from heparin induced thrombocytopenia. All of the patients were presented with one or more risk factors and co-morbidities among malignancies were the most common (52.6%). Insertion was successful for all cases, except one patient who had pre-existing massive inferior vena cava thrombosis. No complications were recorded during filter insertion or on the short term, after filter insertion. Medical indications for inferior vena cava filters in our hospital are not different from what was cited in the literature. Although, each individual patient had multiple risk factors and co-morbidities, nevertheless our patients had no complications related to inferior vena cava filter insertion, which denotes that inferior vena cava filters can be inserted properly and safely.

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Relationship of Inferior Vena Cava Filter Usage in Post-Surgical Patients by Various Surgical and Medical Subspecialists

Cited by 5 publications

References 17 publications

Trends in vena caval interruption

Trends in vena caval interruption

Cambios en la práctica clínica tras la introducción de los filtros de vena cava retirables

Inferior Vena Cava Filters: Two Years Experience in King Abdulaziz University Hospital

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