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Use of Prophylactic Inferior Vena Cava Filters in Trauma.

Ahmed A Naiem1, Alreem K Al-Hinai1, Rashid Al-Sukaiti2

  • 1Department of Surgery, College of Medicine & Health Sciences, Sultan Qaboos University;

Sultan Qaboos University Medical Journal
|February 25, 2016
PubMed
Summary

Pulmonary embolisms (PEs) are a major cause of in-hospital death in trauma patients. This review examines prophylactic inferior vena cava filters for preventing PEs in this population.

Keywords:
Inferior Vena Cava FiltersThromboembolismsTraumaVeins

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Area of Science:

  • Trauma Surgery
  • Vascular Surgery
  • Critical Care Medicine

Background:

  • Venous thromboembolisms, especially pulmonary embolisms (PEs), pose a significant global healthcare challenge.
  • PEs are a leading cause of mortality in hospitalized trauma patients.
  • Preventive strategies, including prophylactic measures, are crucial for managing PEs.

Purpose of the Study:

  • To review the current evidence regarding the use of prophylactic inferior vena cava (IVC) filters in trauma patients.
  • To analyze the indications, outcomes, and potential complications associated with IVC filter placement in this demographic.

Main Methods:

  • Systematic review of existing literature.
  • Analysis of studies focusing on prophylactic IVC filter use in trauma patients.
  • Evaluation of data on filter efficacy, patient outcomes, and adverse events.

Main Results:

  • PEs are a significant cause of preventable in-hospital death in trauma patients.
  • Prophylactic IVC filters are a therapeutic option for PE prevention in trauma.
  • Evidence on indications, outcomes, and complications requires further examination.

Conclusions:

  • Prophylactic inferior vena cava filters are a key consideration for preventing pulmonary embolisms in trauma patients.
  • Further research is needed to optimize the use, indications, and management of complications associated with IVC filters in trauma care.