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Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava

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The Utilization and Outcomes of Inferior Vena Cava Filter Use.

Krystina N Choinski¹, Jason Storch¹, Simeret Genet¹

¹Division of Vascular Surgery, Department of Surgery, The Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Clinical and Applied Thrombosis/Hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

|July 23, 2025

Summary

Inferior vena cava filters (IVCF) are useful for younger patients undergoing surgery when anticoagulation is contraindicated. However, older patients and those with malignancy face higher mortality risks with IVCF placement.

Keywords:

deep vein thrombosis inferior vena cava filter inferior vena cava filter complications pulmonary embolism

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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

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Published on: February 26, 2013

Area of Science:

Vascular Surgery
Interventional Radiology
Cardiovascular Medicine

Background:

Inferior vena cava filters (IVCF) are devices used to prevent pulmonary embolism.
Their indications, complications, and patient outcomes require ongoing evaluation.

Purpose of the Study:

To analyze the indications, complications, and outcomes of patients who received IVCF placement.
To identify patient characteristics and procedural factors associated with IVCF utilization and outcomes.

Main Methods:

A retrospective review of 347 patients who underwent IVCF placement between 2018 and 2022.
Data collected included patient demographics, indications for IVCF, procedural details, complications, filter removal rates, and mortality.
Statistical analysis was performed to identify factors correlated with outcomes.

Main Results:

IVCFs were most commonly placed in patients with contraindications to anticoagulation (41%), gastrointestinal bleeds (15%), or failure of anticoagulation (10%), often prior to spine (17%) or abdominal (32%) surgeries.
Immediate complications occurred in 6% of patients, with long-term issues like edema and DVT in 12%.
All-cause mortality was 21%, with higher rates in older patients and those with current malignancy. Spine surgery patients had higher removal rates.

Conclusions:

IVCF placement demonstrates utility in younger patients undergoing elective procedures with anticoagulation contraindications, especially spine surgeries.
Older patients and those with malignancy have a higher mortality risk and may not benefit from IVCF placement.
Careful patient selection is crucial for optimizing IVCF outcomes.