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Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
Published on: January 13, 2023
Are temporary inferior vena cava filters really temporary?
N N Kirilcuk1, E J Herget, R A Dicker
1Division of Trauma, Emergency, and Critical Care Surgery, Department of Surgery, Stanford University Medical Center, 300 Pasteur Dr., Room H-3680, Stanford, CA 94305, USA.
American Journal of Surgery
|November 26, 2005
Summary
Many retrievable inferior vena cava (IVC) filters placed in trauma patients are not removed, increasing risks. Surgeons need clear protocols for IVC filter use and timely removal to improve patient outcomes.
Area of Science:
- Trauma surgery
- Vascular surgery
- Thromboembolism management
Background:
- Severely injured trauma patients face high venous thromboembolism risk but often cannot receive anticoagulation.
- Long-term inferior vena cava (IVC) filters increase postphlebitic syndrome risk.
- Retrievable IVC filters offer a solution if removed, but removal rates are a concern.
Purpose of the Study:
- To evaluate the removal rates of retrievable inferior vena cava (IVC) filters in trauma patients.
- To assess practice patterns regarding IVC filter insertion and removal.
Main Methods:
- Retrospective analysis of a level I trauma registry.
- Data collected on IVC filter insertion from September 1997 to June 2004.
Main Results:
- Since 2001, 27 retrievable IVC filters were placed, indicating a shift in practice.
- Filters were used for prophylaxis (11) and therapy for pulmonary embolism/deep vein thrombosis (17).
- Only 8 of 23 temporary filters (35%) were removed.
Conclusions:
- Critical evaluation of indications for IVC filter placement is necessary.
- Standardized criteria for IVC filter insertion should be developed.
- Protocols for ensuring timely removal of temporary IVC filters are essential.
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