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June 18, 2021Expert Review of Hematology

An expert spotlight on inferior vena cava filters

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Key result

Inferior vena cava filters remain important for patients with venous thromboembolism who cannot receive standard anticoagulation, despite limited data on effectiveness and survival benefit.

Why the study?

The use of inferior vena cava filters has been controversial, particularly following the introduction of retrievable filters and expanded or prophylactic indications.

Design

Review

Authors

APAnil K. PillaiRush University Medical CenterMKManoj KathuriaThe University of Texas Southwestern Medical CenterMMMaría del Pilar Bayona MolanoUniversity of Miami

Discussion

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Implication

Supports selective IVC filter use when anticoagulation is contraindicated; leaves open need for RCTs on effectiveness and survival.

Structured PICO

P
Population
Patients with venous thromboembolism (VTE) who cannot receive standard anticoagulation
I
Intervention
Inferior vena cava (IVC) filters

IVC filters remain an important option for VTE patients with contraindications to anticoagulation, though their use requires careful management for retrieval and monitoring of adverse events.

Limitations

  • Limited data on effectiveness and survival benefit
  • Population-based studies are required to establish optimal patient population
  • limited data on effectiveness and survival benefit

Cite This Study

Pillai et al. (2021) conducted a review in Venous thromboembolism. Inferior vena cava (IVC) filters was evaluated. Inferior vena cava filters remain important for patients with venous thromboembolism who cannot receive standard anticoagulation, despite limited data on effectiveness and survival benefit.

synapsesocial.com/papers/6a208e186832c8bccb4d1a9fhttps://doi.org/10.1080/17474086.2021.1943350

Topics

Pulmonary embolism
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Inferior Vena Caval Filters: Review of a 26-year Single-Center Clinical Experience2000 · 370 citations
  2. 2Initial Experience With Larger Laser Sheaths for the Removal of Transvenous Pacemaker and Implantable Defibrillator Leads1999 · 126 citations
  3. 3Penetration of an Inferior Vena Cava Filter into the Aorta2014 · 19 citations
  4. 4Eight-Year Follow-Up of Patients With Permanent Vena Cava Filters in the Prevention of Pulmonary Embolism2005 · 936 citations
  5. 5Guidelines on use of vena cava filters2006 · 175 citations