Retrieval of Inferior Vena Cava Filters After Prolonged Indwelling Time

Abstract

subjects with type 2 diabetes status, whereas no exercise was superior to resistance and combined exercise for improving mental health status. The authors claimed insufficient statistical power and/or the effect of fatigue to explain the lack of improvement in the physical component summary measures with mixed training and attributed to a "reversion to the mean" phenomenon the improvement in the mental component summary measures in the control group, starting with a lower mean score at baseline than the exercise intervention groups.A possible limitation of this study, in addition to intrinsic limitation of the SF-36 survey, is the unblinded design, though blinding is not feasible in clinical trials using behavioral interventions. Strengths of this study are that it was multicenter, thus less dependent on local factors, and of larger size and longer duration than other exercise intervention trials in patients with type 2 diabetes, including those assessing QoL and well-being measures. [2][3][4] In conclusion, this large trial shows that the health benefits induced by supervised mixed exercise training on top of counseling include a significant improvement of physical and mental health-related QoL measures. Thus, this intervention strategy may be effective for promoting permanent lifestyle changes in subjects with sedentary habits, such as patients with type 2 diabetes.

Prophylactic Inferior Vena Cava Filters for Venous Thromboembolism in Adults With Trauma: An Updated Systematic Review and Meta-Analysis

“…24 IFRAE can be divided into procedure-related complications (ie, angulation/tilting, migration), and time-dependent complications (ie, penetration, perforation, infection, fracture, thrombosis, and post-thrombotic syndrome). 18,42,61,[83][84][85][86][87] The literature lacks uniform rates of IFRAE. IVC filter penetration is considered the most prevalent IFRAE.…”

“…13,34,35 Advocating for earlier removal is to prevent IVC filter induction of strut epithelialization and transgressing IVC wall making its retrieval technically complex. 86,87 Ho et al 63 opted to consider patients with cervical injury with resultant cervical immobilization a considerable barrier for IVC filter retrieval and advocated the preference of an IVC filter deployment that could be retrieved via transfemoral veins; however, this would be mitigated by utilizing rare alternate transvenous approaches, for example, transhepatic or translumbar approaches. 97,98 These days, there are various modern IVC filter alloy architectural designs that, if used prophylactically for short filtration periods, are associated with a lower IFRAE.…”

Trauma-induced pulmonary thromboembolism: What's update?

“… 123 , 124 , 125 The IVC filters should be removed as soon as protection is no longer needed or the patient can safely receive chemoprophylaxis or therapeutic anticoagulation, to avoid long-term complications related to IVC filters. 126 , 127 …”

Indications for and use of inferior vena cava filters in the preoperative phase

“…Although filters may remain viable for many years, it is generally advised that they are retrieved 10-14 days after insertion, 19 with the ACCP recommending that filters be kept no longer than six months after placement. 20 Despite this, retrieval rates continue to be as low as 15%, 21 with reasons including the doctor refusing to remove the filter, age, and prolonged immobility. 22…”