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Related Experiment Video

Updated: May 10, 2026

Quantifying Inferior Vena Cava Compliance and Distensibility in an In Vivo Ovine Model Using 3D Angiography
07:53

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Published on: April 26, 2024

Inferior vena cava filters.

Ido Weinberg1, John Kaufman, Michael R Jaff

  • 1Institute for Heart, Vascular, and Stroke Care, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.

JACC. Cardiovascular Interventions
|June 22, 2013
PubMed
Summary
This summary is machine-generated.

Inferior vena cava filters (IVCF) prevent pulmonary emboli but are overused. Improved systems are needed for appropriate IVCF use and timely filter retrieval to reduce complications.

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Area of Science:

  • Vascular surgery
  • Interventional radiology
  • Cardiology

Background:

  • Venous thromboembolism (VTE) and pulmonary embolism (PE) are significant health concerns.
  • Inferior vena cava filters (IVCF) are used to prevent PE in high-risk patients.
  • Increasing use of IVCF, particularly retrievable devices, has raised concerns about efficacy and complications.

Purpose of the Study:

  • To review the indications, use, complications, and retrieval rates of IVCF.
  • To highlight the gap between accepted indications and current clinical practice.
  • To emphasize the need for improved systems for IVCF management.

Main Methods:

  • Literature review of IVCF use, efficacy, and complications.
  • Analysis of trends in IVCF placement and retrieval.
  • Discussion of current guidelines and clinical controversies.

Main Results:

  • IVCF are increasingly used, often for indications beyond acute VTE with contraindications to anticoagulation.
  • Complications can occur during IVCF implantation, retrieval, and while the filter is retained.
  • Long-term efficacy is unclear, and filter retrieval rates remain suboptimal.

Conclusions:

  • Current IVCF utilization often extends beyond established indications.
  • There is a critical need for improved patient selection and management protocols for IVCF.
  • Enhanced systems are required to optimize IVCF use and increase filter retrieval rates.