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Inferior Vena Cava Filters: Current Indications, Techniques, and Recommendations
Cindy P Ha1, John E Rectenwald1
1Division of Vascular and Endovascular Surgery, University of Texas Southwestern Medical Center, Professional Office Building 1, Suite 620, 5959 Harry Hines Boulevard, Dallas, TX 75390-9157, USA.
The Surgical Clinics of North America
|March 6, 2018
Summary
Vena cava filters (VCFs) prevent blood clots from traveling to the lungs. Expanded use of these devices, including newer retrievable filters and minimally invasive methods, is reviewed.
Area of Science:
- Medical Devices
- Cardiovascular Medicine
- Interventional Radiology
Background:
- Deep venous thrombosis (DVT) can lead to pulmonary embolism (PE), a life-threatening condition.
- Vena cava filters (VCFs) are devices used to prevent PE in patients with DVT.
- Recent advancements have expanded VCF indications and improved placement techniques.
Purpose of the Study:
- To review current vena cava filters.
- To discuss expanded indications for VCF placement.
- To outline placement techniques, outcomes, and complications.
Main Methods:
- Literature review of available VCFs.
- Analysis of current indications for VCF use.
- Description of VCF placement techniques.
- Summary of VCF outcomes and potential complications.
Main Results:
- Several types of VCFs are available, including retrievable options.
- Indications for VCF placement have broadened.
- Minimally invasive techniques facilitate VCF placement.
- Outcomes and complications vary depending on filter type and patient factors.
Conclusions:
- Vena cava filters play a crucial role in preventing PE progression.
- The development of retrievable filters and advanced techniques has expanded their utility.
- Understanding VCFs, indications, techniques, and outcomes is essential for clinicians.
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