Venous Interventions: IVC Filters



Deep venous thrombosis (DVT) is a significant cause of morbidity and mortality in North America. The incidence of DVT is estimated to be 0.07–0.14/10,000 children and 5.3/10,000 admissions. However, due to the increased complexity of medical conditions in children and the advent of new therapies, this incidence may be underestimated. In a recent multicenter retrospective review in the United States (2001–2007), it was noted that the number of pediatric admissions due to DVT increased by 70 % during the 7-year study period. Pulmonary embolism (PE) is the most feared complication related to DVT. It occurs rarely in children with an incidence of 0.014–0.09/10,000 children (J Pediatr 39, 676–81, 2001) and 0.86–5.7/10,000 hospital admissions. IVC filters may be necessary in children when there is a risk of a life threatening PE and anticoagulation is contraindicated or failed.


Pulmonary Embolism Inferior Vena Cava Deep Venous Thrombosis Renal Vein Inferior Vena Cava Filter 
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  1. 1.
    Andrew M, David M, Adams M, et al. Venous thromboembolic complications (VTE) in children: first analyses of the Canadian Registry of VTE. Blood. 1994;83:1251–7.PubMedGoogle Scholar
  2. 2.
    van Ommen CH, Heijboer H, Buller HR, Hirasing RA, Heijmans HS, Peters M. Venous thromboembolism in childhood: a prospective two-year registry in The Netherlands. J Pediatr. 2001;139:676–81.PubMedCrossRefGoogle Scholar
  3. 3.
    Raffini L, Huang YS, Witmer C, Feudtner C. Dramatic increase in venous thromboembolism in children’s hospitals in the United States from 2001 to 2007. Pediatrics. 2009;124:1001–8.PubMedCrossRefGoogle Scholar
  4. 4.
    Biss TT, Brandao LR, Kahr WH, Chan AK, Williams S. Clinical features and outcome of pulmonary embolism in children. Br J Haematol. 2008;142:808–18.PubMedCrossRefGoogle Scholar
  5. 5.
    Monagle P, Chalmers E, Chan A, et al. Antithrombotic therapy in neonates and children: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008;133:887S–968.PubMedCrossRefGoogle Scholar
  6. 6.
    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;112:416–22.Google Scholar
  7. 7.
    Decousus H, Leizorovicz A, Parent F, et al. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prevention du Risque d’Embolie Pulmonaire par Interruption Cave Study Group. N Engl J Med. 1998;338:409–15.PubMedCrossRefGoogle Scholar
  8. 8.
    Mauro M, Murphy KPJ, Thomson KR, Venbrux AC, Zollikofer CL, editors. Image-guided interventions. 1st ed. Philadelphia, PA: Saunders Elsevier; 2008.Google Scholar
  9. 9.
    Neuerburg JM, Gunther RW, Vorwerk D, et al. Results of a multicenter study of the retrievable Tulip Vena Cava Filter: early clinical experience. Cardiovasc Intervent Radiol. 1997;20:10–6.PubMedCrossRefGoogle Scholar
  10. 10.
    Kinney TB. Update on inferior vena cava filters. J Vasc Interv Radiol. 2003;14:425–40.PubMedCrossRefGoogle Scholar
  11. 11.
    Athanasoulis CA, Kaufman JA, Halpern EF, Waltman AC, Geller SC, Fan CM. Inferior vena caval filters: review of a 26-year single-center clinical experience. Radiology. 2000;216:54–66.PubMedCrossRefGoogle Scholar
  12. 12.
    Kaufman JA, Kinney TB, Streiff MB, 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;17:449–59.PubMedCrossRefGoogle Scholar
  13. 13.
    Chaudry G, Padua HM, Alomari AI. The use of inferior vena cava filters in young children. J Vasc Interv Radiol. 2008;19:1103–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Kandarpa K, Aruny JE. Handbook of interventional radiologic procedures. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2002.Google Scholar
  15. 15.
    Heran MK, Marshalleck F, Temple M, et al. Joint quality improvement guidelines for pediatric arterial access and arteriography: from the Societies of Interventional Radiology and Pediatric Radiology. J Vasc Interv Radiol. 2010;21:32–43.PubMedCrossRefGoogle Scholar
  16. 16.
    Koc Z, Oguzkurt L. Interruption or congenital stenosis of the inferior vena cava: prevalence, imaging, and clinical findings. Eur J Radiol. 2007;62:257–66.PubMedCrossRefGoogle Scholar
  17. 17.
    Matchett WJ, Jones MP, McFarland DR, Ferris EJ. Suprarenal vena caval filter placement: follow-up of four filter types in 22 patients. J Vasc Interv Radiol. 1998;9:588–93.PubMedCrossRefGoogle Scholar
  18. 18.
    Koc Z, Ulusan S, Oguzkurt L, Tokmak N. Venous variants and anomalies on routine abdominal multi-detector row CT. Eur J Radiol. 2007;61:267–78.PubMedCrossRefGoogle Scholar
  19. 19.
    Bass JE, Redwine MD, Kramer LA, Huynh PT, Harris Jr JH. Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radiographics. 2000;20:639–52.PubMedCrossRefGoogle Scholar
  20. 20.
    Kaufman J, Lee MJ. Vascular and interventional radiology. Philadelphia: Mosby; 2004.Google Scholar
  21. 21.
    Owens CA, Bui JT, Knuttinen MG, Gaba RC, Carrillo TC. Pulmonary embolism from upper extremity deep vein thrombosis and the role of superior vena cava filters: a review of the literature. J Vasc Interv Radiol. 2010;21:779–87.PubMedCrossRefGoogle Scholar
  22. 22.
    Iliescu B, Haskal ZJ. Advanced techniques for removal of retrievable inferior vena cava filters. Cardiovasc Intervent Radiol. 2012;35:741–50.PubMedCrossRefGoogle Scholar
  23. 23.
    Kuo WT, Cupp JS. The excimer laser sheath technique for embedded inferior vena cava filter removal. J Vasc Interv Radiol. 2010;21:1896–9.PubMedCrossRefGoogle Scholar
  24. 24.
    Stavropoulos SW, Dixon RG, Burke CT, et al. Embedded inferior vena cava filter removal: use of endobronchial forceps. J Vasc Interv Radiol. 2008;19:1297–301.PubMedCrossRefGoogle Scholar
  25. 25.
    Minocha J, Idakoji I, Riaz A, et al. Improving inferior vena cava filter retrieval rates: impact of a dedicated inferior vena cava filter clinic. J Vasc Interv Radiol. 2010;21:1847–51.PubMedCrossRefGoogle Scholar
  26. 26.
    Haider EA, Rosen JC, Torres C, Valenti DA. Serial repositioning of a Gunther tulip retrievable inferior vena cava filter in a pediatric patient. Pediatr Radiol. 2005;35:1135–8.PubMedCrossRefGoogle Scholar
  27. 27.
    Kukreja KU, Gollamudi J, Patel MN, Johnson ND, Racadio JM. Inferior vena cava filters in children: our experience and suggested guidelines. J Pediatr Hematol Oncol. 2011;33:334–8.PubMedCrossRefGoogle Scholar
  28. 28.
    Bogue CO, John PR, Connolly BL, Rea DJ, Amaral JG. Symptomatic caval penetration by a Celect inferior vena cava filter. Pediatr Radiol. 2009;39:1110–3.PubMedCrossRefGoogle Scholar
  29. 29.
    Cook A, Shackford S, Osler T, Rogers F, Sartorelli K, Littenberg B. Use of vena cava filters in pediatric trauma patients: data from the National Trauma Data Bank. J Trauma. 2005;59:1114–20.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of RadiologyCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  2. 2.Department of Medical ImagingUniversity of TorontoTorontoCanada
  3. 3.Department of Diagnostic Imaging - Image Guided Therapy CentreThe Hospital for Sick ChildrenTorontoCanada

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