Why the study?
The role of inferior vena cava filter retrieval needed description in patients on chronic anticoagulation given the overlap of these treatment options in venous thromboembolic disease management.
The decision to retrieve an optional IVCF in patients on chronic anticoagulation should be individualized, requiring diligent follow-up and consistent re-evaluation.
Suboptimal IVCF retrieval rates and early complications support individualized decisions with close follow-up; leaves open optimal strategies for prospective study.
Purpose of review Describe the role of inferior vena cava filter (IVCF) retrieval in patients on chronic anticoagulation given the overlap of these treatment options in the management of patients with venous thromboembolic disease. Recent findings Despite the increase in IVCF retrievals since the Food and Drug Administration safety communications in 2010 and 2014, retrieval rates remain low. Previous studies have shown that longer filter dwell times are associated with greater risk for filter complications and more difficulty with filter retrievals. Recent findings suggest that complications are more frequent in the first 30 days after placement. Summary The decision to retrieve an optional IVCF is individualized and requires diligent follow-up with consistent re-evaluation of the need for the indwelling IVCF, particularly in those on long-term anticoagulation therapy.
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Fletcher et al. (2021) studied this question.
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