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December 4, 2020HematologyOpen Access

Inferior vena cava filters: a framework for evidence-based use

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Key result

Inferior vena cava filters are indicated for acute VTE with contraindications to anticoagulation, but their use for primary VTE prophylaxis in high-risk patients lacks literature support.

Why the study?

Indications for inferior vena cava filters have liberalized despite limited supporting evidence, and indiscriminate use can be associated with net patient harm.

Design

Review

Authors

AKAmar H. KelkarHarvard UniversityARAnita RajasekharUniversity of Florida

Discussion

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Implication

Indiscriminate IVCF use risks net harm; challenges liberalized indications and leaves open optimal patient selection.

Structured PICO

P
Population
Patients with venous thromboembolism (VTE) or high-risk patients considered for primary VTE prophylaxis
I
Intervention
Inferior vena cava filters (IVCFs)

IVCFs should be reserved for patients with acute VTE and contraindications to anticoagulation, as evidence does not support their use for primary prophylaxis.

Cite This Study

Kelkar et al. (2020) conducted a review in Venous thromboembolism (VTE). Inferior vena cava filters (IVCFs) was evaluated. Inferior vena cava filters are indicated for acute VTE with contraindications to anticoagulation, but their use for primary VTE prophylaxis in high-risk patients lacks literature support.

synapsesocial.com/papers/6a6d30edac440176ef26ff59https://doi.org/10.1182/hematology.2020000149

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. 1Association of Inferior Vena Cava Filter Placement for Venous Thromboembolic Disease and a Contraindication to Anticoagulation With 30-Day Mortality2018 · 61 citations
  2. 2How I treat recurrent venous thromboembolism in patients receiving anticoagulant therapy2017 · 62 citations
  3. 3A Prospective Study of Venous Thromboembolism after Major Trauma1994 · 1,448 citations
  4. 4Role of vena cava filters for the management of cancer-related venous thromboembolism: Systematic review and meta-analysis2018 · 12 citations
  5. 52014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism2014 · 3,164 citations