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Inferior vena caval filters: key considerations
Paul J Failla1, Kevin D Reed, Warren R Summer
1Earl K. Long Medical Center, Baton Rouge, LA 70805, USA. pfaill@lsuhsc.edu
The American Journal of the Medical Sciences
|August 17, 2005
Summary
Inferior vena cava (IVC) filters help prevent pulmonary embolism. This review examines the efficacy and complications of permanent and retrievable IVC filters to guide rational clinical use.
Area of Science:
- Vascular Surgery
- Cardiology
- Medical Devices
Background:
- Surgical interruption of the inferior vena cava (IVC) has been considered for pulmonary embolism prevention since the late 19th century.
- Early methods were rudimentary, prompting the evolution of advanced techniques.
- The increasing use of permanent IVC filters is accompanied by ongoing debate regarding their effectiveness and associated risks.
Purpose of the Study:
- To review existing literature on inferior vena cava (IVC) filters.
- To contribute to a more rational approach for IVC filter utilization.
- To discuss emerging data on retrievable IVC filter technology.
Main Methods:
- Literature review of pertinent studies on IVC filters.
- Analysis of historical and current data on filter efficacy and complications.
- Examination of evidence regarding both permanent and retrievable filter types.
Main Results:
- The historical context of IVC interruption for pulmonary embolism prevention is established.
- Controversy persists regarding the efficacy and complications of permanent IVC filters.
- Evolving data on retrievable filters are presented for consideration.
Conclusions:
- A rational approach to IVC filter use is needed.
- Further evaluation of permanent and retrievable filter data is crucial.
- Evidence-based guidelines can optimize patient outcomes and minimize filter-related complications.