Key result
Vena cava filter insertion is currently universally recommended only for patients with deep vein thrombosis and/or pulmonary embolism who have contraindications to anticoagulant therapy.
Why the study?
Existing recommendations present contradictory indications for vena cava filter insertion due to a lack of evidence regarding pulmonary embolism protection and justification for the procedure.
Does insertion of a vena cava filter protect from pulmonary embolism in patients with deep vein thrombosis and/or pulmonary embolism?
Does insertion of a vena cava filter protect from pulmonary embolism in patients with deep vein thrombosis and/or pulmonary embolism?
Vena cava filter insertion is universally recommended only for patients with deep vein thrombosis and/or pulmonary embolism who have contraindications to anticoagulant therapy.
Answers are grounded in this paper and cite their sources.
Contradictions in vena cava filter indications reflect insufficient evidence; leaves open optimal surgical prophylaxis pending randomized trials.
The article is a review of the literature on the problem of surgical prophylaxis of venous thromboembolic complications, namely insertion of a vena cava filter. Today, there are a number of recommendations that differently display indications for insertion of a vena cava filter. The contradictions in the indications for insertion of a vena cava filter are based on a lack of evidence base both on the possibility of protection from pulmonary embolism with the help of surgery and the justification for this surgery. The analysis of the efficiency and safety of the vena cava filters, both permanent and removable, is carried out. Currently, only one indication for inserting a vena cava filter is recognized by all recommendations: the presence of contraindications for anticoagulant therapy in a patient with deep vein thrombosis and/or pulmonary embolism.
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Schastlivtsev et al. (2020) conducted a review in Acute venous thrombosis, deep vein thrombosis, and/or pulmonary embolism. Vena cava filter insertion was evaluated. Vena cava filter insertion is currently universally recommended only for patients with deep vein thrombosis and/or pulmonary embolism who have contraindications to anticoagulant therapy.
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