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Are too many inferior vena cava filters used? Controversial evidences in different clinical settings: a narrative review

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Abstract

The use of inferior vena cava filters to prevent pulmonary embolism is increasing mainly because of indications that appear to be unclearly codified and recommended. The evidence supporting this approach is often heterogeneous, and mainly based on observational studies and consensus opinions, while the insertion of an IVC filter exposes patients to the risk of complications and increases health care costs. Thus, several proposed indications for an IVC filter placement remain controversial. We attempt to review the proof on the efficacy and safety of IVC filters in several “special” clinical settings, and assess the robustness of the available evidence for any specific indication to place an IVC filter.

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Authors and Affiliations

  1. Department of Internal Medicine, Angiology Unit, Ospedale dell’Angelo, Via Paccagnella 11, 30174, Mestre (VE), Italy

    Michele Dalla Vestra

  2. Department of Cardiology, Ospedale dell’Angelo, Mestre (VE), Italy

    Elisabetta Grolla

  3. Department of Internal Medicine, Ospedale dell’Angelo, Mestre (VE), Italy

    Luca Bonanni

  4. Department of Internal Medicine, University of Padova, Padova, Italy

    Raffaele Pesavento

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  1. Michele Dalla Vestra
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Dalla Vestra, M., Grolla, E., Bonanni, L. et al. Are too many inferior vena cava filters used? Controversial evidences in different clinical settings: a narrative review. Intern Emerg Med 13, 145–154 (2018). https://doi.org/10.1007/s11739-016-1575-7

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