Complications of inferior vena cava filters

Simer Grewal1, Murthy R Chamarthy1, Sanjeeva P Kalva1

  • 1Department of Radiology, Division of Interventional Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Insights

Inferior vena cava (IVC) filters offer pulmonary embolism prophylaxis for deep venous thrombosis patients unsuitable for anticoagulation. Understanding IVC filter complications is crucial for risk-benefit assessment.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiology

Background:

  • Inferior vena cava (IVC) filter placement is a key prophylaxis for pulmonary embolism in deep venous thrombosis patients.
  • Increasing IVC filter implantation trends necessitate a comprehensive understanding of associated risks.
  • The advent of retrievable filters introduced new complications requiring careful consideration.

Purpose of the Study:

  • To review and categorize complications associated with IVC filters.
  • To analyze differences in complications among various IVC filter device types, including retrievable filters.
  • To outline clinical presentations, prevention, and treatment strategies for IVC filter complications.

Main Methods:

  • Systematic review of literature on IVC filter complications.
  • Categorization of complications into procedure-related, post-procedure, and retrieval-related.
  • Description of device-specific differences and retrievable filter complications.

Main Results:

  • Complications are categorized into procedural, post-procedural, and retrieval phases.
  • Limited prospective studies hinder detailed comparison between device types.
  • Clinical presentations, prevention, and treatment strategies are detailed for each complication.

Conclusions:

  • A thorough understanding of IVC filter limitations and complications is essential for informed clinical decision-making.
  • Despite modern design improvements, vigilance regarding potential adverse events remains critical.
  • Further prospective studies are needed to better elucidate device-specific risks and outcomes.

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