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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
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Variability in Inferior Vena Cava (IVC) Filter Retrieval Rates and Adherence to Guidelines: A Multi-Center

Zachary Nuffer1, Phil Ramis2, Eric M Rohren1

  • 1Department of Radiology, Baylor College of Medicine, Baylor St. Luke's Medical Center, 1101 Bates Ave., Houston, TX 77030, USA.

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|June 26, 2025
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Summary

Inferior vena cava (IVC) filter retrieval rates vary significantly across hospitals, with many failing to meet timely removal guidelines. This highlights a critical need for quality improvement to reduce complications and enhance patient outcomes.

Keywords:
guideline adherenceinferior vena cava filter retrievalinterventional radiology

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Health Services Research

Background:

  • Inferior vena cava (IVC) filters prevent pulmonary embolism (PE) in patients unable to use anticoagulation.
  • Clinical guidelines advocate for timely IVC filter retrieval, yet current rates are suboptimal.
  • Suboptimal retrieval raises concerns regarding long-term filter-related complications.

Purpose of the Study:

  • To analyze national hospital-level variations in IVC filter retrieval rates.
  • To assess adherence to recommended timing for IVC filter removal.
  • To identify facility-specific factors associated with retrieval practices.

Main Methods:

  • Retrospective analysis of 12,197 patients from 158 U.S. facilities (2020-2024).
  • Evaluation of retrieval rates, time to retrieval, and correlations with procedural volume and academic affiliation.
  • Descriptive statistics and correlation analyses were employed.

Main Results:

  • Facility retrieval rates demonstrated wide variation (0.36% to 100%, mean 23%).
  • Only 43% of filters were retrieved within the recommended 90 days.
  • Weak negative correlations observed between retrieval rate and procedure volume/patient age; no significant difference between academic/non-academic facilities.

Conclusions:

  • Significant variability exists in IVC filter retrieval practices nationwide.
  • Many facilities do not meet benchmarks for timely filter removal.
  • Targeted quality improvement initiatives are necessary to enhance retrieval adherence and patient safety.