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Current practice of temporary vena cava filter insertion: a multicenter registry.

H Lorch1, D Welger, V Wagner

  • 1Department of Radiology, Medical University of Luebeck, Lübeck, Germany. lorch@medinf.mu.luebeck.de

Journal of Vascular and Interventional Radiology : JVIR
|February 29, 2000
PubMed
Summary

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This summary is machine-generated.

Temporary vena cava filters are used to prevent pulmonary embolism (PE), but complications like filter thrombosis and dislocation still occur. Further research is needed to improve filter design and patient outcomes.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiology

Background:

  • Temporary vena cava filters are employed to mitigate the risk of pulmonary embolism (PE) in specific patient groups.
  • Current practices and associated complications require thorough evaluation.

Purpose of the Study:

  • To assess the contemporary application of temporary vena cava filter placement.
  • To identify and analyze complications associated with these temporary filters.

Main Methods:

  • A multicenter registry was established between May 1995 and May 1997.
  • Data were collected via a standardized questionnaire from 188 patients.
  • Information gathered included patient demographics, indications for filter use, filter types, and observed complications.

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Main Results:

  • Deep vein thrombosis (DVT) was confirmed in 95.2% of patients, with thrombolysis therapy being the primary indication (53.1%).
  • The average duration of filter placement was 5.4 days, with Antheor filters being most common (56.4%).
  • Major complications included filter thrombosis (16%) and dislocation (4.8%), and four patients experienced fatal pulmonary embolism despite filter use.

Conclusions:

  • Temporary vena cava filters are utilized in a select patient population to prevent PE, though PEs can still occur.
  • Significant challenges remain, including filter thrombosis and dislocation, highlighting the need for improved filter designs.
  • The findings underscore the necessity for innovative filter development and prospective, randomized trials to optimize their efficacy and safety.