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Current Data and Trends on Inferior Vena Cava Filter Placement and Retrieval

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Placement and Retrieval of Inferior Vena Cava Filters
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Abstract

Vena cava filters are important yet controversial devices utilized to prevent pulmonary embolism (PE). Originally designed to replace more invasive inferior vena cava (IVC) interruption techniques (such as plication or clip placement), the first filters still required surgical cutdown on the jugular or femoral vein for insertion [1]. Over time, percutaneous placement became the norm, with a simultaneous increase in the overall number of filter insertions and dissemination of the procedure to interventional radiology and interventional cardiology. In the late 1990s, nonpermanent vena cava filters became commercially available, and filter utilization increased even more rapidly [2]. With more widespread use came increased awareness of complications associated with these devices [3]. The current vena cava filter environment is one of doubt and uncertainty, which is reflected in the decreasing utilization [4, 5]. Nevertheless, vena cava filters remain clinically important tools for protecting patients at risk of PE who cannot be managed with conventional strategies (anticoagulation) [6].

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References

  1. Greenfield LJ, et al. A new intracaval filter permitting continued flow and resolution of emboli. Surgery. 1973;73(4):599–606.

    CAS  PubMed  Google Scholar 

  2. Stein PD, Matta F, Hull RD. Increasing use of vena cava filters for prevention of pulmonary embolism. Am J Med. 2011;124(7):655–61.

    PubMed  Google Scholar 

  3. Angel LF, et al. Systematic review of the use of retrievable inferior vena cava filters. J Vasc Interv Radiol. 2011;22(11):1522–30.e3.

    Google Scholar 

  4. Redberg RF. Continued high rates of IVC filter use after US food and drug safety warning. JAMA Intern Med. 2017;177:1374–5.

    PubMed  Google Scholar 

  5. Akhtar OS, et al. Contemporary trends and comparative outcomes with adjunctive inferior vena cava filter placement in patients undergoing catheter-directed thrombolysis for deep vein thrombosis in the United States: insights from the National Inpatient Sample. JACC Cardiovasc Interv. 2018;11(14):1390–7.

    PubMed  Google Scholar 

  6. Jaff MR, Kaufman J. A measured approach to vena cava filter use-respect rather than regret. JAMA Cardiol. 2017;2(1):5–6.

    PubMed  Google Scholar 

  7. Wood KE. A history of pulmonary embolism and deep venous thrombosis. Crit Care Clin. 2009;25(1):115–31. viii

    PubMed  Google Scholar 

  8. Dalen JE, Alpert JS. Natural history of pulmonary embolism. Prog Cardiovasc Dis. 1975;17(4):259–70.

    CAS  PubMed  Google Scholar 

  9. Piran S, Schulman S. Management of venous thromboembolism: an update. Thromb J. 2016;14(Suppl 1):23.

    PubMed  PubMed Central  Google Scholar 

  10. Hokusai VTEI, et al. Edoxaban versus warfarin for the treatment of symptomatic venous thromboembolism. N Engl J Med. 2013;369(15):1406–15.

    Google Scholar 

  11. Trendlenberg F. Über die chirurgische Behandlung der puerperalen Pyaemie. Munchen Med Wschr. 1912.

    Google Scholar 

  12. Goldhaber SZ, et al. Interruption of the inferior vena cava by clip or filter. Am J Med. 1984;76(3):512–6.

    CAS  PubMed  Google Scholar 

  13. Dodson MG, Mobin-Uddin K, O'Leary JA. Intracaval umbrella-filter for prevention of recurrent pulmonary embolism. South Med J. 1971;64(8):1017–8.

    CAS  PubMed  Google Scholar 

  14. Tadavarthy SM, et al. Kimray-Greenfield vena cava filter: percutaneous introduction. Radiology. 1984;151(2):525–6.

    CAS  PubMed  Google Scholar 

  15. Dorfman GS. Percutaneous inferior vena caval filters. Radiology. 1990;174(3 Pt 2):987–92.

    CAS  PubMed  Google Scholar 

  16. Kaufman JA. Optional vena cava filters: what, why, and when. Vascular. 2007;15(5):304–13.

    PubMed  Google Scholar 

  17. Neuerburg JM, et al. Percutaneous retrieval of the tulip vena cava filter: feasibility, short- and long-term changes–an experimental study in dogs. Cardiovasc Intervent Radiol. 2001;24(6):418–23.

    CAS  PubMed  Google Scholar 

  18. Ryu RK, et al. A comparison of retrievability: celect versus option filter. J Vasc Interv Radiol. 2015;26(6):865–9.

    PubMed  Google Scholar 

  19. Kaufman JA. Inferior vena cava filters: current and future concepts. Interv Cardiol Clin. 2018;7(1):129–35.

    PubMed  Google Scholar 

  20. FDA. Guidance for cardiovascular intravascular filter 510(k) submissions – guidance for industry and FDA staff. 1999 [cited 2018 2/25/18].; Available from: https://www.fda.gov/RegulatoryInformation/Guidances/ucm073776.htm.

  21. Jaff MR, et al. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation. 2011;123(16):1788–830.

    Google Scholar 

  22. Montgomery JP, Kaufman JA. Inferior vena cava filters: indications, outcomes, and evidence. Curr Treat Options Cardiovasc Med. 2015;17(9):401.

    PubMed  Google Scholar 

  23. Bikdeli B, et al. Vena Caval filter utilization and outcomes in pulmonary embolism: Medicare hospitalizations from 1999 to 2010. J Am Coll Cardiol. 2016;67(9):1027–35.

    PubMed  PubMed Central  Google Scholar 

  24. Shamian B, Chamberlain RS. The role for prophylaxis inferior vena cava filters in patients undergoing bariatric surgery: replacing anecdote with evidence. Am Surg. 2012;78(12):1349–61.

    PubMed  Google Scholar 

  25. Welle MK. Inferior vena cava filter use as pulmonary embolism prophylaxis in trauma. Orthop Nurs. 2011;30(2):98–114. quiz 115–6

    PubMed  Google Scholar 

  26. Bass AR, et al. Inferior vena cava filter placement in orthopedic surgery. Am J Orthop (Belle Mead NJ). 2010;39(9):435–9.

    Google Scholar 

  27. Kaufman JA, et al. Guidelines for the use of retrievable and convertible vena cava filters: report from the Society of Interventional Radiology multidisciplinary consensus conference. J Vasc Interv Radiol. 2006;17(3):449–59.

    PubMed  Google Scholar 

  28. Muriel A, et al. 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.

    PubMed  Google Scholar 

  29. Meltzer AJ, et al. Clinical, demographic, and medicolegal factors associated with geographic variation in inferior vena cava filter utilization: an interstate analysis. Surgery. 2013;153(5):683–8.

    PubMed  Google Scholar 

  30. White RH, et al. High variation between hospitals in vena cava filter use for venous thromboembolism. JAMA Intern Med. 2013;173(7):506–12.

    PubMed  Google Scholar 

  31. Kishore D, et al. State-level variation in inferior vena cava filter utilization across Medicare and commercially insured populations. AJR Am J Roentgenol. 2019:212;1385–92.

    Google Scholar 

  32. Group, P.S. Eight-year follow-up of patients with permanent vena cava filters in the prevention of pulmonary embolism: the PREPIC (prevention du Risque d'Embolie Pulmonaire par interruption cave) randomized study. Circulation. 2005;112(3):416–22.

    Google Scholar 

  33. Mismetti P, et al. Effect of a retrievable inferior vena cava filter plus anticoagulation vs anticoagulation alone on risk of recurrent pulmonary embolism: a randomized clinical trial. JAMA. 2015;313(16):1627–35.

    PubMed  Google Scholar 

  34. Reddy S, et al. Association between contemporary trends in inferior vena cava filter placement and the 2010 US Food and Drug Administration advisory. JAMA Intern Med. 2017;177(9):1373–4.

    PubMed  PubMed Central  Google Scholar 

  35. Wadhwa V, et al. Decreasing utilization of inferior vena cava filters in post-FDA warning era: insights from 2005 to 2014 Nationwide inpatient sample. J Am Coll Radiol. 2017;14:P1144–50.

    Google Scholar 

  36. Turner TE, et al. Association of Inferior Vena Cava Filter Placement for venous thromboembolic disease and a contraindication to anticoagulation with 30-day mortality. JAMA Netw Open. 2018;1(3):e180452.

    PubMed  PubMed Central  Google Scholar 

  37. Jones LM, et al. Evaluating the utilization of prophylactic inferior vena cava filters in trauma patients. Ann Vasc Surg. 2018;46:36–42.

    PubMed  Google Scholar 

  38. Sarosiek S, et al. Association between inferior vena cava filter insertion in trauma patients and in-hospital and overall mortality. JAMA Surg. 2017;152(1):75–81.

    PubMed  Google Scholar 

  39. Sabharwal S, Fox AD, Vives MJ. The use of inferior vena cava filters in spine trauma: a nationwide study using the National Trauma Data Bank. J Spinal Cord Med. 2019;42(2):228–35.

    PubMed  Google Scholar 

  40. Ho KM, et al. A multicenter trial of vena cava filters in severely injured patients. N Engl J Med. 2019;

    Google Scholar 

  41. Stein PD, Matta F, Hughes MJ. Prophylactic inferior vena cava filters in patients with fractures of the pelvis or long bones. J Clin Orthop Trauma. 2018;9(2):175–80.

    PubMed  Google Scholar 

  42. Carlin MN, et al. Money well spent? A cost and utilization analysis of prophylactic inferior vena cava filter placement in high-risk trauma patients. J Surg Res. 2017;220:105–11.

    PubMed  Google Scholar 

  43. Haut ER, et al. The effectiveness of prophylactic inferior vena cava filters in trauma patients: a systematic review and meta-analysis. JAMA Surg. 2014;149(2):194–202.

    PubMed  Google Scholar 

  44. Moynihan GV, Koelzow H. Review article: do inferior vena cava filters prevent pulmonary embolism in critically ill trauma patients and does the benefit outweigh the risk of insertion? A narrative review article. Emerg Med Australas. 2019;31(2):193–9.

    PubMed  Google Scholar 

  45. Dossett LA, Adams RC, Cotton BA. Unwarranted national variation in the use of prophylactic inferior vena cava filters after trauma: an analysis of the National Trauma Databank. J Trauma. 2011;70(5):1066–70. discussion 1070–1

    PubMed  Google Scholar 

  46. Hemmila MR, et al. Prophylactic inferior vena cava filter placement does not result in a survival benefit for trauma patients. Ann Surg. 2015;262(4):577–85.

    PubMed  Google Scholar 

  47. Gargiulo NJ 3rd, et al. Long-term outcome of inferior vena cava filter placement in patients undergoing gastric bypass. Ann Vasc Surg. 2010;24(7):946–9.

    PubMed  Google Scholar 

  48. Vaziri K, et al. Retrievable inferior vena cava filters in high-risk patients undergoing bariatric surgery. Surg Endosc. 2009;23(10):2203–7.

    PubMed  Google Scholar 

  49. Rajasekhar A, Crowther M. Inferior vena caval filter insertion prior to bariatric surgery: a systematic review of the literature. J Thromb Haemost. 2010;8(6):1266–70.

    CAS  PubMed  Google Scholar 

  50. Haskins IN, et al. The association of IVC filter placement with the incidence of postoperative pulmonary embolism following laparoscopic bariatric surgery: an analysis of the metabolic and bariatric surgery accreditation and quality improvement project. Surg Obes Relat Dis. 2019;15(1):109–15.

    PubMed  Google Scholar 

  51. Reddy S, et al. Prophylactic inferior vena cava filters prior to bariatric surgery: insights from the National Inpatient Sample. JACC Cardiovasc Interv. 2019;12(12):1153–60.

    PubMed  Google Scholar 

  52. Magnowski A, et al. The law of unintended consequences: current design challenges in inferior vena cava filters. Expert Rev Med Devices. 2017;14(10):805–10.

    CAS  PubMed  Google Scholar 

  53. Lang W, Schweiger H, Hofmann-Preiss K. Results of long-term venacavography study after placement of a Greenfield vena caval filter. J Cardiovasc Surg. 1992;33(5):573–8.

    CAS  Google Scholar 

  54. Campbell JJ, Calcagno D. Aortic pseudoaneurysm from aortic penetration with a bird's nest vena cava filter. J Vasc Surg. 2003;38(3):596–9.

    PubMed  Google Scholar 

  55. Jia Z, et al. Caval penetration by inferior vena cava filters: a systematic literature review of clinical significance and management. Circulation. 2015;132(10):944–52.

    PubMed  Google Scholar 

  56. Redberg RF. Medical devices and the FDA approval process: balancing safety and innovation; comment on “prevalence of fracture and fragment embolization of bard retrievable vena cava filters and clinical implications including cardiac perforation and tamponade”. Arch Intern Med. 2010;170(20):1831–3.

    PubMed  Google Scholar 

  57. Ahmed O, et al. Trapped by controversy: inferior vena cava filters and the law. J Vasc Interv Radiol. 2017;28(6):886–8.

    PubMed  Google Scholar 

  58. Karp JK, et al. A dedicated inferior vena cava filter service line: how to optimize your practice. Semin Intervent Radiol. 2016;33(2):105–8.

    PubMed  PubMed Central  Google Scholar 

  59. Robbins JM, et al. Removal of retrievable inferior vena cava filters before discharge: is it associated with increased incidence of pulmonary embolism? J Trauma Acute Care Surg. 2019;87:1113–8.

    Google Scholar 

  60. Goodin A, et al. A review of interventions to increase vena cava filter retrieval rates. Ann Vasc Surg. 2018;51:284–97.

    PubMed  Google Scholar 

  61. Mikhael B, et al. Usefulness of a computerized reminder system to improve inferior vena cava filter retrieval and complications. Am J Cardiol. 2019;123(2):348–53.

    PubMed  Google Scholar 

  62. Belkin N, et al. Trends in inferior vena cava filter placement and retrieval at a tertiary care institution. J Vasc Surg Venous Lymphat Disord. 2019;7(3):405–12.

    PubMed  Google Scholar 

  63. Hamidizadeh R, et al. Retrievable inferior vena cava filters: a tertiary centre perspective and quality assurance study. Can Assoc Radiol J. 2019;70(2):193–8.

    PubMed  Google Scholar 

  64. Winters JP, et al. A multidisciplinary quality improvement program increases the inferior vena cava filter retrieval rate. Vasc Med. 2017;22(1):51–6.

    PubMed  Google Scholar 

  65. Mohapatra A, et al. Persistently low inferior vena cava filter retrieval rates in a population-based cohort. J Vasc Surg Venous Lymphat Disord. 2019;7(1):38–44.

    PubMed  Google Scholar 

  66. Morris E, et al. National Trends in inferior vena cava filter placement and retrieval procedures in the Medicare population over two decades. J Am Coll Radiol. 2018;15(8):1080–6.

    PubMed  Google Scholar 

  67. Saeed H, Buxey K, Fitzgerald M. Caval wall injury secondary to inferior vena cava filter removal: a rare complication. ANZ J Surg. 2018;88:2402.

    Google Scholar 

  68. Marsala A, et al. Rupture of the inferior vena cava during filter removal. J Vasc Interv Radiol. 2018;29(11):1618–9.

    PubMed  Google Scholar 

  69. Lee JT, et al. Prolonged balloon tamponade in the initial management of inferior vena cava injury following complicated filter retrieval, without the need for surgery. J Med Imaging Radiat Oncol. 2018;62(6):810–3.

    PubMed  Google Scholar 

  70. Charlton-Ouw KM, et al. Indications and outcomes of open inferior vena cava filter removal. Ann Vasc Surg. 2018;46:205.e5–e11.

    Google Scholar 

  71. Tavri S, et al. Endobronchial forceps-assisted complex retrieval of inferior vena cava filters. J Vasc Surg Venous Lymphat Disord. 2019;7(3):413–9.

    PubMed  Google Scholar 

  72. Al-Hakim R, et al. The hangman technique: a modified loop snare technique for the retrieval of inferior vena cava filters with embedded hooks. J Vasc Interv Radiol. 2015;26(1):107–10.

    PubMed  Google Scholar 

  73. de Gregorio MA, et al. Success in optional vena cava filter retrieval. An analysis of 246 patients. Arch Bronconeumol. 2018;54:371–7.

    Google Scholar 

  74. Kesselman AJ, et al. Endovascular removal of fractured inferior vena cava filter fragments: 5-year registry data with prospective outcomes on retained fragments. J Vasc Interv Radiol. 2018;29(6):758–64.

    PubMed  Google Scholar 

  75. Kuo WT, et al. Laser-assisted removal of embedded vena cava filters: a 5-year first-in-human study. Chest. 2017;151(2):417–24.

    PubMed  Google Scholar 

  76. Trerotola SO, Stavropoulos SW. Management of fractured inferior vena cava filters: outcomes by fragment location. Radiology. 2017;284:887–96.

    Google Scholar 

  77. Dinglasan LA, et al. Complicated inferior vena cava filter retrievals: associated factors identified at preretrieval CT. Radiology. 2013;266(1):347–54.

    PubMed  Google Scholar 

  78. Workman CS, Lewandowski RJ, Desai KR. Techniques for retrieval of permanent inferior vena cava filters. Semin Intervent Radiol. 2017;34(2):208–12.

    PubMed  PubMed Central  Google Scholar 

  79. PRESERVE-Trial. Predicting the safety and effectiveness of inferior vena cava filters. 2019 [cited 2019 7/21/19].; Available from: http://www.preservetrial.com/.

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Kaufman, J.A. (2020). Current Data and Trends on Inferior Vena Cava Filter Placement and Retrieval. In: Desai, K., Ahmed, O., Van Ha, T. (eds) Placement and Retrieval of Inferior Vena Cava Filters. Springer, Cham. https://doi.org/10.1007/978-3-030-45150-9_1

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