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Retrievable vena cava filters: clinical experience.
Francesco Dentali1, Walter Ageno, Davide Imberti
1Department of Clinical Medicine, University of Insubria, Varese, Italy.
Current Opinion in Pulmonary Medicine
|August 24, 2006
Summary
Retrievable inferior vena cava filters offer a safe and effective alternative to permanent filters, with easy management and removal. They present a low risk of complications and pulmonary embolism for temporary indications.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiology
Background:
- Permanent inferior vena cava (IVC) filters can lead to long-term complications like occlusion and recurrent deep vein thrombosis.
- Patients often need temporary IVC interruption due to short-term anticoagulant contraindications.
Purpose of the Study:
- To review literature on IVC filter indications.
- To assess potential problems with available IVC filters.
- To evaluate the efficacy and safety of retrievable IVC filters.
Main Methods:
- Literature review of available studies.
- Analysis of data from retrospective and prospective cohort studies.
- No randomized clinical trials were included.
Main Results:
- Retrievable filters show a low rate of pulmonary embolism and insertion-related complications.
- Filter retrieval was successful in nearly all patients.
- Permanent filters carry risks of occlusion and increased deep vein thrombosis.
Conclusions:
- Retrievable IVC filters are a highly attractive option for temporary IVC interruption.
- They offer advantages in ease of management and prolonged use.
- Removal is straightforward when the filter is no longer necessary.
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