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Complications of temporary vena cava filter placement
Hiroshi Wada1, Kenichi Sakakura, Norifumi Kubo
1Division of Cardiovascular Medicine, Department of Integrated Medicine I, Saitama Medical Center, Jichi Medical University, Saitama, Japan. wada1006@hotmail.com
Journal of Cardiology
|June 26, 2012
Summary
Temporary vena cava filters can cause serious complications like thrombosis and dislocation. Clinicians should carefully consider these risks versus the benefits before placing temporary vena cava filters.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Temporary vena cava filters are used to prevent pulmonary embolism.
- Concerns exist regarding serious adverse events, including filter-related thrombosis.
Purpose of the Study:
- To investigate the clinical complications associated with temporary vena cava filter placement.
Main Methods:
- A consecutive series of 40 patients undergoing temporary vena cava filter insertion were analyzed.
- Data were collected between January 2006 and December 2010 at Saitama Medical Center.
Main Results:
- High rates of major complications were observed: filter thrombosis (10.2%), filter dislocation (10.2%), and catheter-related infection (7.7%).
- One patient (2.5%) experienced massive pulmonary embolism and cardiogenic shock during filter retrieval.
Conclusions:
- Temporary vena cava filter placement is linked to a significant incidence of device-related complications.
- The clinical benefits must be carefully weighed against the potential risks of these complications.
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