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The use of inferior vena cava filters in young children

Gulraiz Chaudry1, Horacio M Padua, Ahmad I Alomari

  • 1Division of Vascular and Interventional Radiology, Department of Radiology, Children's Hospital Boston and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA. gulraiz.chaudry@childrens.harvard.edu

Journal of Vascular and Interventional Radiology : JVIR
|July 1, 2008
PubMed

Insights

This study reports on the safe placement and retrieval of inferior vena cava (IVC) filters in pediatric patients with small IVC diameters. The procedure showed no complications, indicating a viable option for children requiring IVC filter placement.

Area of Science:

  • Pediatric Interventional Radiology
  • Vascular Surgery
  • Medical Device Technology

Background:

  • Inferior vena cava (IVC) filters are used to prevent pulmonary embolism.
  • Placement in pediatric patients with small IVC diameters presents unique challenges.
  • Limited data exists on the safety and efficacy of IVC filters in this population.

Purpose of the Study:

  • To describe the experience with IVC filter placement and retrieval in children.
  • To evaluate the feasibility and safety of IVC filters in pediatric patients with a maximum IVC diameter of 1 cm.
  • To report any complications associated with the procedure.

Main Methods:

  • Retrospective review of pediatric patients who underwent IVC filter placement.
  • Documented access routes (right internal jugular vein, right femoral vein).
  • Recorded filter deployment success and retrieval rates, noting any complications.

Main Results:

  • Three IVC filters were placed in three pediatric patients over 14 months.
  • Successful deployment was achieved in all cases.
  • Retrieval was successful in two patients; one patient in palliative care did not undergo retrieval.
  • No complications were observed during placement, implantation, or retrieval.

Conclusions:

  • Inferior vena cava (IVC) filter placement and retrieval are feasible and safe in pediatric patients with small IVC diameters.
  • The procedure demonstrated a low complication rate in this cohort.
  • Further research may be warranted to expand the use of IVC filters in pediatric populations.

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