The role of an IVC filter retrieval clinic—A single center retrospective analysis

Schuchardt, Philip; Yasin, Junaid; Davis, Ryan M.; Tewari, Sanjit O; Bhat, Ambarish P.

doi:10.4103/ijri.ijri_258_19

Cited by 19 publications

(5 citation statements)

References 18 publications

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“…Schuchardt et al found that with the implementation of an IVC filter retrieval clinic, 62.9% of the IVC filters that were potentially retrievable were removed during the study period. The process consisted of quarterly follow-up during 12 months and enrollment of patients after they had their IVC filter placed [ 10 ]. Another study by Sutphin et al showed a 52% retrieval rate with automated clinic scheduling [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Utilization Practices of Inferior Vena Cava Filters at an Academic Medical Center

El Dick,

Shah,

Paul

2024

Cureus

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Introduction: Anticoagulation is the mainstay of management for patients with venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE). Inferior vena cava (IVC) filters are indicated in select patients who are not candidates for anticoagulation. There is a lack of quality evidence supporting other indications. In addition, long-term benefits and safety profiles of IVC filters have not been established. We investigated the utilization practice of IVC filters in a contemporary series of patients in a tertiary academic medical center. Methodology: A retrospective review of 200 patients who received IVC filters at Virginia Commonwealth University (VCU) Medical Center in the years 2017 and 2018 was conducted. Adult patients 18 years of age or older with or without cancer were included, and patients were selected consecutively until data on 200 patients were collected. Data on patient demographics, an indication of IVC filter placement, filter retrieval rate, and re-thrombosis events over a median follow-up period of nine months were extracted from the electronic medical record and analyzed. Results: A total of 200 patients (105 male and 95 female) were included with a median age of 61 years (range 17-92 years). Of the 200 patients, 97 (48.5%) had a DVT, 28 (14%) had a PE, 73 (36.5%) had both a PE and DVT, and 2 (1%) had thrombosis at other sites. A total of 130 (65%) patients had an IVC filter placed because of a contraindication to anticoagulation, while 70 (35%) had an IVC filter placed for other nonstandard indications, which included new or worsening VTE despite anticoagulation, recent VTE who must have anticoagulation held during surgery, primary prevention in high-risk patients, and extensive disease burden among other reasons. Seventy-two (36%) patients had active malignancy at the time of filter placement, and 64 (32%) were lost to follow-up. Of the 119 patients who were potentially eligible for filter retrieval, 55 (46%) patients had their IVC filters removed at a median of five months after insertion. Of the 55 patients who had IVC filters removed, 8 (14.5%) patients experienced a re-thrombosis event within a median follow-up of 39 months. Of the 145 patients who still had their filter in place at the time of death or last follow-up, 5 (3.4%) patients experienced a re-thrombosis event within a median follow-up of three months. Conclusions: One-third of the patients in this series had an IVC filter placed without a standard indication, and less than half of them had the IVC filters removed within one year of placement. Additionally, one-third of the patients were lost to follow-up, highlighting the need for improved structured follow-up programs and education among both patients and providers regarding the indications for placement and retrieval to minimize complications.

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Section: Discussionmentioning

confidence: 99%

Utilization Practices of Inferior Vena Cava Filters at an Academic Medical Center

El Dick,

Shah,

Paul

2024

Cureus

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“…Retrieval was attempted through the right jugular vein. If the standard technique failed, we used the loop and snare method through the filter apex, and this was considered as advanced retrieval ( 13 ). Right femoral vein was punctured in addition, a balloon was inflated between the filter and caval wall and realign the filter by reducing the tilting angle.…”

Section: Methodsmentioning

confidence: 99%

Denali Inferior Vena Cava Filter Retrieval: Complications and Success Rates

Choi

Kim

Hwang

et al. 2023

J Korean Soc Radiol

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Purpose The present study was to evaluate the outcomes of Denali filter retrieval. Materials and Methods We retrospectively reviewed 143 patients who received Denali filter insertion from September 2015 to April 2020. Ninety-seven patients who required removal of the filters were include in this study. Filters were retrieved with either standard or advanced techniques. Venography before and after retrieval was obtained to evaluate technical success, complications and duration of filter insertion. Results All 97 filters were retrieved successfully without complications. Ninety-two (94.8%) were retrieved with standard technique and 5 filters (5.2%) required the advanced technique. There were two cases with a filter angle greater than 15 degrees. Inferior vena cava penetration was shown in 17 patients (17.5%) on venography but was not associated with contrast media extravasation after filter removal. Conclusion The Denali filter showed a high rate of successful retrieval without complications. This study adds value to previous studies and trials showing that the Denali filter is a reliable and safe filter that can potentially improve retrieval rates, with increasing use of this device.

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“…[ 33 ] The additional use of ST with standard AC has been shown to improve survival in patients with massive PE. [ 17 , 34 , 35 ] Mechanical thrombectomy (MT) can be used in patients with massive PE, when there is inadequate time for ST or it is contraindicated. [ 10 , 36 ]…”

Section: Pertmentioning

confidence: 99%

Current Endovascular Treatment Options in Acute Pulmonary Embolism

Moore

Kunin

Alnijoumi

et al. 2021

JCIS

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Acute pulmonary embolism (PE) is a significant cause of mortality and morbidity across the globe. Over the last few decades, there have been major therapeutic advances in acute PE management, including catheter-based therapy. However, the effectiveness of catheter-based therapy in acute PE is not supported by Level I evidence, making the use of this promising treatment rather controversial and ambiguous. In this paper, we discuss the risk stratification of acute PE and review the medical and endovascular treatment options. We also summarize and review the data supporting the use of endovascular treatment options in acute PE and describe the potential role of the PE response team.

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The role of an IVC filter retrieval clinic—A single center retrospective analysis

Cited by 19 publications

References 18 publications

Utilization Practices of Inferior Vena Cava Filters at an Academic Medical Center

Utilization Practices of Inferior Vena Cava Filters at an Academic Medical Center

Denali Inferior Vena Cava Filter Retrieval: Complications and Success Rates

Current Endovascular Treatment Options in Acute Pulmonary Embolism

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