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Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
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Indications for inferior vena cava filter placement: do physicians comply with guidelines?
Amanjit S Baadh1, Joseph F Zikria, Stephen Rivoli
1Department of Medicine, Lenox Hill Hospital, 100 East 77th St., New York, NY 10075, USA. andybaadh@yahoo.com
Journal of Vascular and Interventional Radiology : JVIR
|June 16, 2012
Summary
Physician adherence to inferior vena cava (IVC) filter placement guidelines is poor, particularly for American College of Chest Physicians (ACCP) standards. Compliance improves with Society of Interventional Radiology (SIR) guidelines, but harmonization is needed.
Area of Science:
- Medical Devices
- Interventional Radiology
- Vascular Surgery
Background:
- Inferior vena cava (IVC) filter use has risen, but indications vary, leading to inconsistent adherence to professional society guidelines.
- Physician compliance with established guidelines for IVC filter placement remains an area of concern.
Purpose of the Study:
- To assess documented indications for IVC filter placement.
- To evaluate physician compliance with ACCP and SIR guidelines for IVC filter placement.
Main Methods:
- Retrospective review of inpatient IVC filter placements over 26 months at a single teaching hospital.
- Analysis of compliance with ACCP and SIR guidelines.
- Examination of the relationship between medical specialty and filter placement compliance.
Main Results:
- Poor compliance with ACCP guidelines across interventional radiology (IR), vascular surgery (VS), and interventional cardiology (IC) specialties (33.3%-43.5%).
- Better compliance with less restrictive SIR guidelines (77.1%-80%).
- Higher guideline compliance for filters recommended by internal medicine (IM)-trained physicians compared to non-IM-trained physicians.
Conclusions:
- Physician compliance with IVC filter placement guidelines is suboptimal.
- A significant proportion of filter placements, particularly those recommended by non-IM physicians, do not meet ACCP criteria.
- Harmonization of current professional society guidelines for IVC filter placement is recommended.
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