Key result
Inferior vena cava filters prevent pulmonary embolism but increase recurrent deep vein thrombosis without changing mortality in patients with acute proximal deep vein thrombosis.
Why the study?
Does inferior vena cava filter placement reduce mortality and pulmonary embolism in patients with acute pulmonary embolism?
Does inferior vena cava filter placement reduce mortality and pulmonary embolism in patients with acute pulmonary embolism?
While IVC filters reduce the risk of subsequent pulmonary embolism and acute deterioration, they increase the risk of recurrent DVT, suggesting that non-permanent filters should be removed early to prevent complications.
IVC filters may warrant early retrieval in acute proximal DVT to limit recurrent thrombosis; leaves open net benefit in acute PE.
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Sakuma et al. (2008) conducted a review in Acute pulmonary embolism and deep vein thrombosis. Inferior vena cava filters vs. No filter or standard therapy was evaluated. Inferior vena cava filters prevent pulmonary embolism but increase recurrent deep vein thrombosis without changing mortality in patients with acute proximal deep vein thrombosis.
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