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Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving
Salah D Qanadli1, Kiara Rezaei-Kalantari2, Laurence Crivelli3
1Cardiothoracic and Vascular Division, Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland. salah.qanadli@chuv.ch.
Scientific Reports
|February 11, 2021
Summary
A structured follow-up program significantly boosts inferior vena cava filter (IVCF) retrieval rates. This proactive approach identifies more eligible patients for IVCF removal, enhancing patient safety and reducing complications.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Medical Device Management
Background:
- Inferior vena cava filters (IVCFs) are crucial for preventing pulmonary embolism but carry risks.
- Low IVCF retrieval rates are a concern, often linked to inadequate patient follow-up.
- Effective retrieval strategies are needed to minimize IVCF-related complications.
Purpose of the Study:
- To assess the impact of a structured 5-month follow-up program on IVCF retrieval rates.
- To evaluate the effectiveness of interventional radiology-led patient tracking for IVCF management.
- To determine the influence of a dedicated program on identifying eligible patients for IVCF removal.
Main Methods:
- A prospective study enrolled 366 patients receiving IVCFs between March 2015 and February 2020.
- The program included standard care plus a systematic 5-month follow-up visit.
- Evaluated clinical/technical eligibility for retrieval and technical success rate (TSR).
Main Results:
- The 5-month follow-up visit facilitated 89 additional retrievals (47.8%) compared to standard care.
- Among survivors, the overall retrieval rate reached 58%.
- Retrieval rates were high for clinically (83%) and technically (97%) eligible patients, with no change in TSR.
Conclusions:
- A dedicated IVCF follow-up program significantly improves filter retrieval rates in eligible patients.
- Proactive patient tracking by interventional radiology enhances IVCF management and reduces complications.
- Structured follow-up is essential for maximizing the benefits of IVCF therapy.
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