Non-permanent Inferior Vena Cava Filters for Prophylaxis and Treatment of Lower Limb Venous Thromboembolisme

Abstract

Objectives: The purpose of this study was to evaluate and compare our recent clinical experience with temporary inferior vena cava (IVC) filters (TF) and retrievable IVC filters (RF). Materials and methods: Patients who received TF or RF implantation between October 2002 and May 2009 were studied. The early clinical outcomes between the 2 groups were compared.

Results: Nonpermanent IVC filters were placed in 119 patients (34 in TF and 85 in RF). Retrieval of RF and removal of TF were successful in 98.7% and 100%, respectively. The incidence of filter-related complications for TF was significantly higher than for RF (26.5% vs 3.5%; P = .0004). However, no symptomatic pulmonary embolism (PE) was observed during filter placement.

Conclusion: TF and RF provided similar protection from PE. We prefer RF because they can be left in permanently if it is impossible to remove or retrieve the filter for some reason.

Keywords

pulmonary embolism thrombus IVC filter

Get full access to this article

View all access options for this article.

References

Kearon C. , Kahn SR , Agnelli G. , Goldhaber S. , Raskob GE , Comerota AJ Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008; 133(6):454S-545S.

Dovrish Z. , Hadary R. , Blickstein D. , Shilo L. , Ellis MH Retrospective analysis of the use of inferior vena cava filters in routine hospital practice. Postgrand Med J. 2006;82(964):150-153.

Ferris EJ , McCowan TC , Carver DK , McFarland DR Percutaneous inferior vena caval filters: follow-up of seven designs in 320 patients. Radiology. 1993;188(3):851-856.

Greenfield LJ , Proctor MC Twenty year clinical experience with the Greenfield filter. Cardiovasc Surg. 1995;3(2):199-205.

Athanasoulis CA , Kaufman JA , Halpern EF , Waltman AC , Geller SC , Fan C. Inferior vena caval filters: review of a 26-year single-center experience. Radiology. 2000;216(1):54-66.

Cohen AT , Tapson VF , Bergmann JF , et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): a multinational cross-sectional study. Lancet. 2008;371(9610):387-394.

Crochet DP , Stora O. , Ferry D. , et al. Vena Tech-LGM filter: long-term results of a prospective study . Radiology. 1993;188(3): 857-860.

Ishihara K. , Hiromatsu S. , Shintani Y. , Kanaya K. , Mikasa K. , Aoyagi S. Clinical outcome of perioperative nonpermanent vena cava filter placement in patients with deep venous thrombosis or blood stasis of the vein. Surg Today. 2009;39(9):764-769.

Yavuz K. , Geyik S. , Hoppe H. , Kolbeck KJ , Kaufman JA Venous thromboembolism after retrieval of inferior vena cava filters. J vasc interv radiol. 2008;19(4):504-508.

10.

Decousus H. , Leizorovicz A. , Parent F. , et al. A clinical trial of vena cava filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prevention du Risque d’Embolie Pulmonarie par Interruption Cave Study Group. N Eng J Med. 2006;338(7):409-415.

11.

Lin M. , Soo TB , Horn LC. Successful retrieval of infected Guenther Tulip IVC filter. J Vasc Interv Radiol. 2000;11(10): 1341-1343.

12.

Miyahara T. , Miyata T. , Shigematsu K. , et al. Clinical outcome and complications of temporary inferior vena cava filter placement. J Vasc Surg. 2006;44(3):620-624.

13.

Bovyn G. , Ricco JB , Reynaud P. , Le Blanche AF On behalf of the European Tempofilter II study group. Long-duration temporary vena cava filter: a prospective 104-case multicenter study. J Vasc Surg. 2006;43:1222-1229.

14.

Keller IS , Meier C. , Pfiffner R. , Keller E. , Pfammatter T. Clinical comparison of two optional vena cava filters. J Vasc Interv Radiol. 2007;18(4):505-511.

15.

Sugimoto T. , Nomura T. , Kitade T. Surgical removal of a tilted temporary inferior vena cava filter incorporated with a large thrombus: report of a case. Surg Today. 2008;38(3):258-260.

16.

Van Ha TG , Chien AS , Funaki BS , et al. Use of retrievable compared to permanent inferior vena cava filters: A singleinstitutuion experience. Cardiovasc Intervent Radiol. 2008; 31(2):308-315.