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Implantation of Inferior Vena Cava Interposition Graft in Mouse Model
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Inferior vena cava filter use in pregnancy: preliminary experience.

S Gupta1, D F Ettles, G J Robinson

  • 1Department of Obstetrics and Gynaecology, Hull Royal Infirmary, Hull, UK. swetagupta06@yahoo.com

BJOG : an International Journal of Obstetrics and Gynaecology
|April 16, 2008
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Inferior vena cava (IVC) filters appear safe for use during pregnancy, with no identified complications for mothers or babies. This study found no adverse outcomes in pregnancies with IVC filters in situ.

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Area of Science:

  • Obstetrics and Gynecology
  • Vascular Surgery
  • Maternal Health

Background:

  • Thromboembolism is a leading cause of maternal mortality in the UK.
  • Inferior vena cava (IVC) filters are used for recurrent thromboembolism or when anticoagulation is contraindicated.
  • The safety of IVC filter use during pregnancy is not well-established due to limited data.

Purpose of the Study:

  • To review pregnancy outcomes in women who required an IVC filter during pregnancy.
  • To assess the safety and complications associated with IVC filter placement or continuation during gestation.

Main Methods:

  • Retrospective review of obstetric and radiology databases.
  • Identification of 12 pregnancies in 6 women with an IVC filter in situ.
  • Analysis of antenatal, delivery, and neonatal outcomes.

Main Results:

  • No antenatal complications were observed related to IVC filter placement.
  • No recurrent thromboembolism occurred in pregnancies with pre-existing filters.
  • All infants were born in good condition with normal Apgar scores and mean birthweight of 2982 g.

Conclusions:

  • IVC filter placement or continuation during pregnancy did not appear to cause adverse maternal or fetal outcomes in this case series.
  • Further research may be warranted to confirm safety in larger cohorts.
  • Obstetric indications guided delivery mode in all cases.