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Supply Costs in Complex and Routine Inferior Vena Cava Filter Retrieval: 10 Years' Data from a Single Center.

Gyan C Moorthy1, Jason L Craig2, Edward Ferrara3

  • 1Division of Interventional Radiology, Department of Radiology, University of Pennsylvania Medical Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address: https://twitter.com/HistoryonRecord.

Journal of Vascular and Interventional Radiology : JVIR
|December 31, 2023
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Summary
This summary is machine-generated.

Endobronchial forceps (EFs) are a cost-effective tool for complex inferior vena cava filter retrieval (IVCFR). Expanding their use in routine IVCFR procedures could significantly reduce medical supply costs.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Economics

Background:

  • Inferior vena cava filters (IVCFs) are used to prevent pulmonary embolism.
  • Retrieval of IVCFs can be challenging, requiring various tools and techniques.
  • The cost-effectiveness of different retrieval strategies is an important consideration.

Purpose of the Study:

  • To compare the medical supply costs of inferior vena cava filter retrieval (IVCFR) using endobronchial forceps (EFs), snares, or Recovery Cones (RCs).
  • To evaluate the cost-effectiveness of different retrieval tools for IVCFR.

Main Methods:

  • A retrospective analysis of 594 IVCFR procedures performed between 2012 and 2022.
  • Procedures were categorized by intended retrieval strategy: EFs (n=312), snare (n=255), or RC (n=27).
  • Medical supply costs were determined using list prices; statistical models adjusted for date and other factors.

Main Results:

  • Endobronchial forceps (EFs) retrieval had a significantly lower mean cost ($564.70) compared to snare ($811.29) and RC ($1,465.48) retrievals (P < .0001).
  • Retrieval success rates were high across all methods (591 of 594 successful).
  • Potential savings of $87,201.51 could be achieved if EFs were used for all retrievals.

Conclusions:

  • Endobronchial forceps (EFs) are an affordable and effective option for complex IVCFR.
  • Expanding the use of EFs to routine IVCFR procedures can lead to substantial cost savings.
  • This study highlights the economic benefits of optimizing IVCFR tool selection.