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Retrievable IVC filters: a decision matrix for appropriate utilization.

Anthony J Comerota¹

¹Jobst Vascular Center, The Toledo Hospital, Ohio 43606, USA. marilyn.gravett@promedica.org

Perspectives in Vascular Surgery and Endovascular Therapy

|April 22, 2006

Summary

Vena caval filters help prevent blood clots in high-risk patients. Retrievable filters, approved since 2003, offer optional removal, aiding treatment decisions for venous thromboembolism.

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Area of Science:

Vascular surgery and interventional radiology.
Cardiovascular medicine and hematology.

Background:

Vena caval filter use has risen significantly over 20 years.
Technological advancements simplify filter insertion, boosting physician adoption.

Purpose of the Study:

To review indications for vena caval filtration in patients at risk of venous thromboembolism.
To propose a decision matrix for utilizing optional, retrievable vena caval filters.

Main Methods:

Review of current literature and FDA-approved devices.
Development of a clinical decision-making framework.

Main Results:

Three retrievable vena caval filters approved by the FDA since 2003.
Increasing physician acceptance due to improved insertion technology.

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Conclusions:

Retrievable vena caval filters provide a more flexible treatment option.
A decision matrix can guide appropriate use of optional filters for venous thromboembolism prevention.