Abstract
Although the temporary inferior vena cava filter (IVC-F) is being used increasingly for protection against pulmonary thromboembolism (PTE), indications for its use are not established. Our strategy for the prevention of PTE is: (1) contraindication or failure of anticoagulation: permanent IVC-F; (2) for patients with residual proximal deep vein thrombosis (a) who have permanent risk factor: permanent IVC-F; (b) who have transient risk factor: temporary IVC-F; (3) others: no IVC-F. Temporary IVC-F was also implanted in deep vein thrombosis (DVT) patients without PTE who were preoperation or had floating thrombus. We investigated the outcome of patients given a temporary IVC-F versus those given a permanent IVC-F to clarify the efficacy and our strategy for implantation of a temporary IVC-F. Subjects were 12 men and 38 women with acute PTE and/or floating DVT admitted to our hospital between April 1999 and April 2002. Patient age was 25–91 years (mean 63 years). Eighteen patients were given a permanent IVC-F (group A) and 32 patients were given a temporary IVC-F (group B) as primary treatment, according to our criteria. There were no major complications in either group. Mortality after implantation of the IVC-F was 35% (6/17) in group A and 16% (4/25) in group B, with no significant difference (P = 0.14). Pulmonary thromboembolism recurred in 18% (3/17) of group A patients but in no group B patients (P = 0.10). All recurrences resulted in death. The 14 patients in group B who were not given a permanent IVC-F after removal of the temporary IVC-F survived. The temporary IVC-F can be used safely in patients with venous thromboembolism and is efficacious in preventing recurrence of PTE. Prognosis after removal of the temporary IVC-F is excellent.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
InstitutionalAuthorNameThe PIOPED Investigators (1990) ArticleTitleValue of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED) JAMA 263 2753–2759 Occurrence Handle10.1001/jama.263.20.2753
JL Carson MA Kelly A Duff JG Weg WJ Fulkerson HI Palevsky JS Schwartz BT Thompson J Popovich SuffixJr TE Hobbins MA Spera A Alavi ML Terrin (1992) ArticleTitleThe clinical course of pulmonary embolism N Engl J Med 326 1240–1245 Occurrence Handle1560799 Occurrence Handle1:STN:280:DyaK383itVWgsg%3D%3D Occurrence Handle10.1056/NEJM199205073261902
M Nakamura H Fujioka N Yamada M Sakuma O Okada N Nakanishi Y Miyahara T Kuriyama T Kunieda T Sugimoto T Nakano (2001) ArticleTitleClinical characteristics of acute pulmonary thromboembolism in Japan: results of a multicenter registry in the Japanese Society of Pulmonary Embolism Research Clin Cardiol 24 132–138 Occurrence Handle11214743 Occurrence Handle1:CAS:528:DC%2BD3MXjtVKjt74%3D Occurrence Handle10.1002/clc.4960240207
SZ Goldhaber L Visani M De Rosa InstitutionalAuthorNamefor ICOPER (1999) ArticleTitleAcute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER) Lancet 353 1386–1389 Occurrence Handle10227218 Occurrence Handle1:STN:280:DyaK1M3ktFOmtQ%3D%3D Occurrence Handle10.1016/S0140-6736(98)07534-5
InstitutionalAuthorNameBritish Thoracic Society Standards of Care Committee Pulmonary Embolism Guideline Development Group (2003) ArticleTitleBritish Thoracic Society guidelines for the management of suspected acute pulmonary embolism Thorax 58 470–483 Occurrence Handle10.1136/thorax.58.6.470
H Decousus A Leizorovicz F Parent Y Page B Tardy P Girard R Faivre B Charbonnier FG Barral Y Huet G Simonneau (1998) ArticleTitleA clinical trial of vena caval filters in the prevention of pulmonary embolism in patents with proximal deep-vein thrombosis N Engl J Med 338 409–415 Occurrence Handle9459643 Occurrence Handle1:STN:280:DyaK1c7hslSltQ%3D%3D Occurrence Handle10.1056/NEJM199802123380701
JD Douketis C Kearon S Bates EK Duku JS Ginsberg (1998) ArticleTitleRisk of fatal pulmonary embolism in patients with treated venous thromboembolism JAMA 279 458–462 Occurrence Handle9466640 Occurrence Handle1:STN:280:DyaK1c7is1WitA%3D%3D Occurrence Handle10.1001/jama.279.6.458
M Monreal H Buller AW Lensing M Bonet J Roncales J Muchart M Fraile (2002) ArticleTitleShould patients with deep vein thrombosis alone be treated as those with concomitant asymptomatic pulmonary embolism? A prospective study Thromb Haemost 88 938–942 Occurrence Handle12529742 Occurrence Handle1:CAS:528:DC%2BD3sXisVWgsA%3D%3D
M Jibiki T Iwai Y Inoue N Sugano K Kihara N Hyochi M Sunamori (2004) ArticleTitleSurgical strategy for treating renal cell carcinoma with thrombus extending into the inferior vena cava J Vasc Surg 39 829–835 Occurrence Handle15071451 Occurrence Handle10.1016/j.jvs.2003.12.004
T Sakuragi Y Sakao K Furukawa K Rikitake S Ohtsubo Y Okazaki M Natsuaki T Itoh (2003) ArticleTitleSuccessful management of acute pulmonary embolism after surgery for lung cancer Eur J Cardiothorac Surg 24 580–587 Occurrence Handle14500078 Occurrence Handle10.1016/S1010-7940(03)00392-0
LD Vos AV Tielbeek EP Bom HC Gooszen D Vroegindeweij (1997) ArticleTitleThe Gunther temporary inferior vena cava filter for short-term protection against pulmonary embolism Cardiovasc Intervent Radiol 20 91–97 Occurrence Handle9030497 Occurrence Handle1:STN:280:DyaK2s7osVSrtw%3D%3D Occurrence Handle10.1007/s002709900113
S Schulman A-S Rhedin P Lindmarker A Carlsson G Larfars P Nicol E Loogna E Svensson B Ljungberg H Walter S Viering S Nordlander B Leijd KA Jonsson M Hjorth O Linder J Boberg InstitutionalAuthorNameand the Duration of Anticoagulation Trial Study Group (1995) ArticleTitleA comparison of six weeks with six months of oral anticoagulant therapy after a first episode of venous thromboembolism N Engl J Med 332 1661–1665 Occurrence Handle7760866 Occurrence Handle1:STN:280:DyaK2M3otV2ktg%3D%3D Occurrence Handle10.1056/NEJM199506223322501
H Lorch D Welger V Wagner B Hillner EP Strecker H Herrmann G Voshage C Zur C Schwarzbach J Schroder U Gullotta J Pleissner S Huttner U Siering C Marcklin A Chavan F Glaser DE Apitzsch K Moubayed J Leonhardi UM Schuchard HD Weiss M Zwaan (2000) ArticleTitleCurrent practice of temporary vena cava filter insertion: a multicenter registry J Vasc Interv Radiol 11 83–88 Occurrence Handle10693718 Occurrence Handle1:STN:280:DC%2BD3c7lsFertw%3D%3D
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kai, R., Imamura, H., Kumazaki, S. et al. Temporary inferior vena cava filter for deep vein thrombosis and acute pulmonary thromboembolism: effectiveness and indication. Heart Vessels 21, 221–225 (2006). https://doi.org/10.1007/s00380-005-0894-9
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00380-005-0894-9