TY - JOUR
T1 - Complications of inferior vena cava filters
AU - Grewal, Simer
AU - Chamarthy, Murthy R.
AU - Kalva, Sanjeeva P.
N1 - Publisher Copyright:
© Cardiovascular Diagnosis and Therapy. All rights reserved.
PY - 2016
Y1 - 2016
N2 - Inferior vena cava (IVC) filter placement is a relatively low risk alternative for prophylaxis against pulmonary embolism in patients with pelvic or lower extremity deep venous thrombosis who are not suitable for anticoagulation. There is an increasing trend in the number of IVC filter implantation procedures performed every year. There are many device types in the market and in the early 2000s, the introduction of retrievable filters brought an additional subset of complications to consider. Modern filter designs have led to decreased morbidity and mortality, however, a thorough understanding of the limitations and complications of IVC filters is necessary to weight the risks and benefits of placing IVC filters. In this review, the complications associated with IVC filters are divided into procedure related, post-procedure, and retrieval complications. Differences amongst the device types and retrievable filters are described, though this is limited by a significant lack of prospective studies. Additionally, the clinical presentation as well as prevention and treatment strategies are outlined with each complication type.
AB - Inferior vena cava (IVC) filter placement is a relatively low risk alternative for prophylaxis against pulmonary embolism in patients with pelvic or lower extremity deep venous thrombosis who are not suitable for anticoagulation. There is an increasing trend in the number of IVC filter implantation procedures performed every year. There are many device types in the market and in the early 2000s, the introduction of retrievable filters brought an additional subset of complications to consider. Modern filter designs have led to decreased morbidity and mortality, however, a thorough understanding of the limitations and complications of IVC filters is necessary to weight the risks and benefits of placing IVC filters. In this review, the complications associated with IVC filters are divided into procedure related, post-procedure, and retrieval complications. Differences amongst the device types and retrievable filters are described, though this is limited by a significant lack of prospective studies. Additionally, the clinical presentation as well as prevention and treatment strategies are outlined with each complication type.
KW - Deep vein thrombosis (DVT)
KW - Fracture; retrieval
KW - Inferior vena cava (IVC) filter
KW - Migration
KW - Perforation
KW - Pulmonary embolism
KW - Venous thromboembolism (VTE)
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U2 - 10.21037/cdt.2016.09.08
DO - 10.21037/cdt.2016.09.08
M3 - Review article
C2 - 28123983
AN - SCOPUS:85009959570
SN - 2223-3652
VL - 6
SP - 632
EP - 641
JO - Cardiovascular Diagnosis and Therapy
JF - Cardiovascular Diagnosis and Therapy
IS - 6
ER -