Retrievable inferior vena cava filter utilization in obstetric patients

Rottenstreich, Amihai; Kalish, Yosef; Elchalal, Uriel; Климов, А. Е.; Bloom, Allan I.

doi:10.1080/14767058.2018.1456521

Cited by 9 publications

(16 citation statements)

References 24 publications

(3 reference statements)

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“…We included 1 retrospective cohort study, 2 case series on IVC filter use in pregnancy (containing data on both peripartum use of IVC filter and pregnancies with in situ IVC filter before conception), and 2 case reports (supplemental Table 2). Rottenstreich et al 9 presented a cohort of 24 cases who underwent retrievable IVC filter placement during pregnancy or in the postpartum period; only 1 patient had subsequent pregnancies with an IVC filter still in situ. Gupta et al 16 presented 12 pregnancies in 6 women with retrievable and permanent IVC filters, of which 8 pregnancies occurred in 5 patients after the IVC filter had been inserted.…”

Section: Resultsmentioning

confidence: 99%

“…Quality assessment of the studies is summarized in supplemental Table 3. Information on IVC filter complications and pregnancy outcome was poorly described by Rottenstreich et al 9 and Lee et al 19 In the latter, only information on VTE recurrence was provided.…”

Section: Resultsmentioning

confidence: 99%

“…Four (44%) patients were nulliparous at time of IVC filter insertion. Two patients had been diagnosed with preexistent complications of the IVC filter: 1 patient had IVC filter misplacement into the external iliac vein with penetration of the inferior vena cava wall 9 and 1 patient was diagnosed with asymptomatic chronic perforation of the inferior vena cava by struts and barbs of the IVC filter. 18 …”

Section: Resultsmentioning

confidence: 99%

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Pregnancy in women with an inferior vena cava filter: a tertiary center experience and overview of the literature

Bistervels¹,

Geerlings²,

Bonta³

et al. 2021

Blood Advances

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Background: Patients with an inferior vena cava (IVC) filter that remains in situ encounter a lifelong increased risk of deep vein thrombosis and IVC filter complications including fracture, perforation and IVC filter thrombotic occlusion. Data on the safety of becoming pregnant with an in situ IVC filter are scarce. Objective: To evaluate the risk of complications of in situ IVC filters during pregnancy. Methods: We performed a retrospective cohort study of pregnant patients with an in situ IVC filter from a tertiary center between 2000 and 2020. We collected data on complications of IVC filters and pregnancy outcomes. Additionally, we performed a systematic literature search in MEDLINE, Embase and grey literature. Findings: We identified seven pregnancies in four patients with in situ IVC filters with a mean time since IVC filter insertion of 3 years (range 1-8). No complications of IVC filter occurred during pregnancy. Review of literature yielded five studies including 13 pregnancies in nine patients. In one pregnancy a pre-existent, until then asymptomatic, chronic perforation of the vena cava wall by the IVC filter caused major bleeding and uterine trauma with fetal loss. Overall, the complication rate was 5%. Conclusion: It seems safe to become pregnant with an indwelling IVC filter that is intact and does not show signs of perforation, but due to the low number of cases no firm conclusions about safety of in situ IVC filters during pregnancy can be drawn. We suggest imaging prior to pregnancy to reveal asymptomatic IVC filter complications.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Pregnancy in women with an inferior vena cava filter: a tertiary center experience and overview of the literature

Bistervels¹,

Geerlings²,

Bonta³

et al. 2021

Blood Advances

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“…En el diagnóstico de la TVP en miembros inferiores se usa la ecografía Doppler por compresión venosa. En los casos de trombosis venosa intraabdominal la ecografía tiene una sensibilidad del 42% en comparación con la resonancia magnética nuclear (RMN) que se sitúa en el 98%, lo que hace de ésta última la técnica de elección en casos de sospecha de trombosis de vena iliaca, de vena cava o vena mesentérica 34 . La tomografía axial computarizada (TAC) puede usarse cuando no hay disponibilidad de RMN en el diagnóstico de TVP intraabdominal pero no es lo ideal por la exposición a la radiación que implica tanto para la madre como para el feto.…”

Section: Colocaciónunclassified

“…Si bien la experiencia en la colocación de FVC en el embarazo es limitada, se han comunicado casos de complicación grave como rotura del filtro, migración, perforación de la vena cava o fallos en la retirada de filtros extraíbles 45,58,59 . En los casos donde no se puede retirar el filtro, probablemente se deba mantener el tratamiento anticoagulante de forma indefinida si bien no existe consenso actual a este respecto 33,34 .Las complicaciones más frecuentes asociadas con el uso del FVC durante el embarazo se muestran en la Tabla 4.…”

Section: Complicaciones Asociadasunclassified

Filtro de vena cava y embarazo: algunas certezas y muchas incertidumbres

Peromingo¹

2021

Gal. Clin.

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El embarazo constituye un estado protrombótico durante el cual se producen en la mujer cambios anatómicos y fisiológicos que conllevan un incremento en la incidencia de fenómenos tromboembólicos. Así, las mujeres embarazadas tienen un riesgo 5 veces mayor de padecer un evento tromboembólico que las no embarazadas. La enfermedad tromboembólica venosa es una causa importante de morbilidad y mortalidad maternas y la embolia pulmonar es la causa más común de mortalidad materna en los países desarrollados. En el presente trabajo se revisan aspectos como la valoración de riesgo tromboembólico en la mujer embarazada, el diagnóstico, profilaxis y tratamiento, con especial atención al uso del filtro de vena cava en mujeres embarazadas en términos de indicaciones, colocación, efectividad, complicaciones y riesgos tanto para la madre como para el feto.

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