Prevention of pulmonary embolisms associated with vena cava filter implantation

To investigate the prevention of pulmonary embolism (PE) by the implantation of inferior vena cava filters (IVCFs).

Data of 1058 patients treated for lower extremity deep vein thrombosis (DVT) between January 2005 and January 2012 were analyzed retrospectively and divided into those with and without PE.

Of the 1058 patients, 34 had PEs (3.2%) and 1024 did not. Multivariable analyses showed that PEs were less likely to occur in patients with IVCFs than in those without IVCFs (odd ratio [OR] =  0.028, P < 0.001), and were more likely to occur in patients with vena cava thrombosis than in those without vena cava thrombosis (OR =  19.094, P < 0.001). Analyses stratified by DVT site showed that vena cava thrombosis was the only risk factor of PE for patients with a left DVT (crude OR =  12.814, P < 0.001), and IVCF implantation was the only protective factor for PE for patients with a right or bilateral DVT (crude OR =  0.028, P =  0.001). IVCF patency rate for follow-up was 98.7% with no filter migration, declination, or failure of expansion.

IVCFs can reduce the occurrence of PEs in patients with DVTs.