Vena Cava Filters: Toward Optimal Strategies for Filter Retrieval and Patients' Follow-Up

Overview

Journal Front Cardiovasc Med

Specialty Cardiology & Vascular Diseases

Date 2022 Mar 21

PMID 35310979

Authors

Kiara Rezaei-Kalantari

David C Rotzinger

Salah D Qanadli

Affiliations

Soon will be listed here.

Abstract

Mortality rates associated with venous thromboembolism (VTE) are high. Inferior vena cava filters (IVCFs) have been frequently placed for these patients as part of their treatment, albeit the paucity of data showing their ultimate efficacy and potential risk of complications. Issues regarding long-term filter dwell time are accounted for in society guidelines. This topic has led to an FDA mandate for filter retrieved as soon as protection from pulmonary embolism is no longer needed. However, even though most are retrievable, some were inadvertently left as permanent, which carries an incremental lifetime risk to the patient. In the past decade, attempts have aimed to determine the optimal time interval during which filter needs to be removed. In addition, distinct strategies have been implemented to boost retrieval rates. This review discusses current conflicts in indications, the not uncommon complications, the rationale and need for timely retrieval, and different quality improvement strategies to fulfill this aim.

Citing Articles

Inferior Vena Cava Filter in Cancer-Associated Thrombosis: A for the Treating Physicians: A Narrative Review.

Fioretti A, La Forgia D, Scicchitano P, Brunetti N, Inchingolo R, Tocchetti C Biomedicines. 2024; 12(10).

PMID: 39457543 PMC: 11505388. DOI: 10.3390/biomedicines12102230.

Inferior Vena Cava Filters: A Clinical Review and Future Perspectives.

Benedetti R, Marino S, Tangianu F, Imberti D J Clin Med. 2024; 13(6).

PMID: 38541986 PMC: 10971000. DOI: 10.3390/jcm13061761.

Predictors of endobronchial forceps utilization for inferior vena cava filter retrieval: when snare retrieval fails.

Kang R, Schuchardt P, Charles J, Kumar P, Drews E, Kazi S CVIR Endovasc. 2023; 6(1):55.

PMID: 37950835 PMC: 10640549. DOI: 10.1186/s42155-023-00392-9.

References

Sutphin P, Reis S, McKune A, Ravanzo M, Kalva S, Pillai A . Improving inferior vena cava filter retrieval rates with the define, measure, analyze, improve, control methodology. J Vasc Interv Radiol. 2015; 26(4):491-8.e1. DOI: 10.1016/j.jvir.2014.11.030. View

Shariff M, Kumar A, Adalja D, Doshi R . Inferior vena cava filters reduce symptomatic but not fatal pulmonary emboli after major trauma: a meta-analysis with trial sequential analysis. Eur J Trauma Emerg Surg. 2020; 47(6):1805-1811. DOI: 10.1007/s00068-020-01350-z. View

Qanadli S, Rezaei-Kalantari K, Crivelli L, Doenz F, Jouannic A, Rotzinger D . Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval. Sci Rep. 2021; 11(1):3526. PMC: 7875966. DOI: 10.1038/s41598-021-82767-3. View

Prasad V, Rho J, Cifu A . The inferior vena cava filter: how could a medical device be so well accepted without any evidence of efficacy?. JAMA Intern Med. 2013; 173(7):493-5. DOI: 10.1001/jamainternmed.2013.2725. View

Muriel A, Jimenez D, Aujesky D, Bertoletti L, Decousus H, Laporte S . Survival effects of inferior vena cava filter in patients with acute symptomatic venous thromboembolism and a significant bleeding risk. J Am Coll Cardiol. 2014; 63(16):1675-83. DOI: 10.1016/j.jacc.2014.01.058. View

Mismetti P, Rivron-Guillot K, Quenet S, Decousus H, Laporte S, Epinat M . A prospective long-term study of 220 patients with a retrievable vena cava filter for secondary prevention of venous thromboembolism. Chest. 2007; 131(1):223-9. DOI: 10.1378/chest.06-0631. View

Geerts W, Bergqvist D, Pineo G, Heit J, Samama C, Lassen M . Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008; 133(6 Suppl):381S-453S. DOI: 10.1378/chest.08-0656. View

Stein P, Matta F, Hughes M . Effectiveness of Inferior Vena Cava Filters in Patients With Stable and Unstable Pulmonary Embolism and Trends in Their Use. Am J Med. 2019; 133(3):323-330. DOI: 10.1016/j.amjmed.2019.08.031. View

Guez D, Hansberry D, Eschelman D, Gonsalves C, Parker L, Rao V . Inferior Vena Cava Filter Placement and Retrieval Rates among Radiologists and Nonradiologists. J Vasc Interv Radiol. 2018; 29(4):482-485. DOI: 10.1016/j.jvir.2017.11.008. View

10.

Desai K, Lewandowski R, Salem R, Mouli S, Karp J, Laws J . Retrieval of Inferior Vena Cava Filters With Prolonged Dwell Time: A Single-Center Experience in 648 Retrieval Procedures. JAMA Intern Med. 2015; 175(9):1572-4. DOI: 10.1001/jamainternmed.2015.2561. View

11.

Grewal S, Chamarthy M, Kalva S . Complications of inferior vena cava filters. Cardiovasc Diagn Ther. 2017; 6(6):632-641. PMC: 5220210. DOI: 10.21037/cdt.2016.09.08. View

12.

Rosenthal D, Wellons E, Hancock S, Burkett A . Retrievability of the Günther Tulip vena cava filter after dwell times longer than 180 days in patients with multiple trauma. J Endovasc Ther. 2007; 14(3):406-10. DOI: 10.1583/06-2045.1. View

13.

Quencer K, Smith T, Deipolyi A, Mojibian H, Ayyagari R, Latich I . Procedural complications of inferior vena cava filter retrieval, an illustrated review. CVIR Endovasc. 2020; 3(1):23. PMC: 7184068. DOI: 10.1186/s42155-020-00113-6. View

14.

Morales J, Li X, Irony T, Ibrahim N, Moynahan M, Cavanaugh Jr K . Decision analysis of retrievable inferior vena cava filters in patients without pulmonary embolism. J Vasc Surg Venous Lymphat Disord. 2016; 1(4):376-84. DOI: 10.1016/j.jvsv.2013.04.005. View

15.

Tao M, Montbriand J, Eisenberg N, Sniderman K, Roche-Nagle G . Temporary inferior vena cava filter indications, retrieval rates, and follow-up management at a multicenter tertiary care institution. J Vasc Surg. 2016; 64(2):430-437. DOI: 10.1016/j.jvs.2016.02.034. View

16.

von Stempel C, Hague J, Brookes J . Excimer laser assisted complex inferior vena cava filter retrieval: a single institution's experience over 6 years. Clin Radiol. 2018; 74(1):79.e15-79.e20. DOI: 10.1016/j.crad.2018.09.012. View

17.

Rottenstreich A, Spectre G, Roth B, Bloom A, Kalish Y . Patterns of use and outcome of inferior vena cava filters in a tertiary care setting. Eur J Haematol. 2015; . DOI: 10.1111/ejh.12542. View

18.

Clements W, Moriarty H, Paul E, Goh G . Stratification of Pre-procedure Risk Factors Associated with Difficult-to-remove Inferior Vena Cava (IVC) Filters: A 6-year Retrospective Analysis at a Tertiary Center. Cardiovasc Intervent Radiol. 2019; 43(2):238-245. DOI: 10.1007/s00270-019-02373-9. View

19.

Desai K, Laws J, Salem R, Mouli S, Errea M, Karp J . Defining Prolonged Dwell Time: When Are Advanced Inferior Vena Cava Filter Retrieval Techniques Necessary? An Analysis in 762 Procedures. Circ Cardiovasc Interv. 2017; 10(6). DOI: 10.1161/CIRCINTERVENTIONS.116.003957. View

20.

Inagaki E, Farber A, Eslami M, Siracuse J, Rybin D, Sarosiek S . Improving the retrieval rate of inferior vena cava filters with a multidisciplinary team approach. J Vasc Surg Venous Lymphat Disord. 2016; 4(3):276-82. PMC: 5531451. DOI: 10.1016/j.jvsv.2015.11.002. View