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Management of the Acute Thrombus-Bearing IVC Filter

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Placement and Retrieval of Inferior Vena Cava Filters

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Abstract

While anticoagulation is the mainstay for the treatment of venous thromboembolism (VTE), for patients who have failed or cannot tolerate anticoagulation therapy, caval filtration is an effective means for decreasing the risk of pulmonary embolism (PE). The first intracaval prosthesis was described by Mobin-Uddin et al. and obviated the need for open surgical caval ligation; however, this technique was plagued by thrombotic occlusion of the inferior vena cava (IVC) in the majority of patients [1]. Since then, rheologic refinements in percutaneous caval filter designs, aimed at maintaining caval flow, have mitigated—though not eliminated—the risks of caval thrombosis.

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Author information

Authors and Affiliations

  1. Vascular & Interventional Specialists of Charlotte Radiology, Charlotte, NC, USA

    Mark L. Lessne

  2. The Johns Hopkins Medical Institute, Baltimore, MD, USA

    Mark L. Lessne & Brian Holly

Authors
  1. Mark L. Lessne
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  2. Brian Holly
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Editor information

Editors and Affiliations

  1. Division of Interventional Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Kush R. Desai

  2. University of Chicago, Chicago, IL, USA

    Osman Ahmed

  3. University of Chicago, Chicago, IL, USA

    Thuong Van Ha

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Lessne, M.L., Holly, B. (2020). Management of the Acute Thrombus-Bearing IVC Filter. 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_13

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  • DOI: https://doi.org/10.1007/978-3-030-45150-9_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-45149-3

  • Online ISBN: 978-3-030-45150-9

  • eBook Packages: MedicineMedicine (R0)

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