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Inferior vena cava filter

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treated with a weakly ferromagnetic IVC filter (Gianturco bird nest IVC filter , stainless steel Greenfield vena cava filter ), it is advised that the patient wait at least six weeks before undergoing an MR examination (because these older devices initially may not be anchored as firmly in place as other devices discussed in the present context), unless there is a strong clinical indication to perform the MR examination sooner after implantation, and as long as there is no reason to suspect that the device is not positioned properly or that it is not firmly in place. Most studies of IVC filters have generally been conducted at 1.5 tesla or less, although many IVC filters have now been evaluated at 3 tesla and deemed acceptable for MR examination.
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Review of prior cross-sectional imaging or a venogram of the IVC is performed before deploying the filter to assess for potential anatomic variations, thrombi within the IVC, or areas of stenoses, as well as to estimate the diameter of the IVC. Rarely, ultrasound-guided placement is preferred in the
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While most IVC filters are made of non-ferromagnetic materials, there are a few types that are weakly ferromagnetic. Accordingly, IVC filters fall under the MRI Safe and MRI Conditional categories depending mostly on type of material used during construction. Rarely will one find an MRI Not Safe IVC
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Long-term risk factors must be considered as well, to include life expectancy of more than six months following insertion, and the ability of the patient to comply with anticoagulation therapy. The decision to use a filter that is temporary vs permanent basically is tied to the expected duration of
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While the ability to retrieve a filter does exist for many models, it cannot be guaranteed that all cases of filter placement will allow for, or be indicated for retrieval. Thus, the requirements and indications for permanent placement of filters is used to decide on when to use both permanent and
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Most IVC filters that have been tested have been labeled as “MRi safe”; the remainder of IVC filters that have been tested are “MR conditional.” Patients who have been treated with nonferromagnetic IVC filters can undergo MR examination any time after filter implantation. In patients who have been
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An IVC filter, just by doing its job properly (catching embolic material), can eventually fill up with embolic material and cause a circulatory impairment that may warrant revision with vascular surgery (new filter, stent additions, or otherwise). A representative case has been reported in science
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Kaufman, JA; Kinney, TB; Streiff, MB; Sing, RF; Proctor, MC; Becker, D; Cipolle, M; Comerota, AJ; Millward, SF; Rogers, FB; Sacks, D; Venbrux, AC (2006). "Guidelines for the use of retrievable and convertible vena cava filters: report from the Society of Interventional Radiology multidisciplinary
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Even though the cases above are the exception, and not the rule, most radiologists object to doing prophylactic filter insertions in patients who do not have thromboembolic diseases. For the most part, whenever possible, interventional radiologists would rather start the patient on anticoagulants
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Of these IVC filter side effects, 328 involved device migration, 146 involved embolizations after detachment of device components, 70 involved perforation of the IVC, and 56 involved filter fracture. Much of the medical community believes that this large number of adverse events is related to the
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The concept of a removable IVC filter was first conceived in 1967. In 2003 and 2004 that the United States Food and Drug Administration first approved retrievable filters. In 2005 that the Society of Interventional Radiology (SIR) convened a multidisciplinary conference to address the clinical
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As part of the 'routing' survey for MRI studies, patients who have IVC filters will often need verification from the doctor, or medical records, to state that the IVC is safe for the MRI. Most patients with weakly or non-safe ferromagnetic implants will be given a card, which they keep on their
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While many studies have been done on the efficacy of Vena Cava filters, there still have not been any major studies done on the actual placement and removal of the filters regarding standard guidelines. Which is why the Society of Interventional Radiology created a multidisciplinary panel that
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IVC filters are attached to the vena cava via hooks on their ends. Some are compression springs, which compress outward onto the side wall of the vena cava; however, they still have small hooks that retain their location. These hooks aid in the anchoring and healing process, as they allow the
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In August, 2010, the FDA released an Initial Communication on the Risk and Adverse events associated with Long Term use of an inferior vena cava filter. Over a period of about 5 years, they identify 921 events. While not the majority of cases, that number still represents a statistical
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It is important to note that the clinical exam prior to the removal of the filter is vital in understanding both the risk and pathophysiological effects removing the filter will have on the patient. Doctors and medical professionals must consider several key factors (see
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within the venous system. To place the filter, a catheter is guided into the IVC using fluoroscopic guidance, then the filter is pushed through the catheter and deployed into the desired location, usually just below the junction of the IVC and the lowest
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There is no current published data confirming the benefit of removing an IVC. Because of this, the Society of Interventional Radiology created a multidisciplinary panel that developed the following guidelines to see if someone qualifies for removal:
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The main function of a vena cava filter is to prevent death from massive pulmonary emboli. Long-term clinical follow-up studies have shown that this is accomplished in 96% of cases having a standard stainless-steel Greenfield filter.
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Results from the PREPIC study and other studies which have shown many long-term complications of IVC filters led to the introduction of retrievable IVC filters. The first retrievable IVC filters were approved by FDA in 2003 and 2004.
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Kaufman, JA; Kinney TB; Streiff MB; et al. (March 2006). "Guidelines for the use of retrievable and convertible vena cava filters: report from the Society of Interventional Radiology multidisciplinary consensus conference".
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Olin, JW; Young JR; Graor RA; Ruschhaupt WF; Beven EG; Bay JW (1987). "Treatment of deep-vein thrombosis and pulmonary emboli in patients with primary and metastatic brain tumors: anticoagulants or inferior vena cava filters?".
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Bariatric patients: Undergoing surgery for weight control, only if BMI greater than 55, previous history of DVT/PE, hypercoagulable state, chronic venous insufficiency, truncal obesity or contraindication to anticoagulation
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tissues to 'ingrow' around them, securing the IVC in place. It is unlikely, then, after 4 to 6 weeks of healing, that an MRI of 1.5 tesla, up to 3 tesla, will cause any level of dislodging to occur to the IVC filter.
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IVC filters are placed endovascularly, meaning that they are inserted via the blood vessels. Historically, IVC filters were placed surgically, but with modern filters that can be compressed into much thinner
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Contraindications to anticoagulation; e.g. a patient with DVT or PE who has another condition that puts them at risk of bleeding, such as a recent bleed into the brain, or a patient about to undergo major
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Sartori, MT; Zampieri P; Andres AL; Prandoni P; Motta R; Miotto D (2006). "Double vena cava filter insertion in congenital duplicated inferior vena cava: a case report and literature review".
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Bucker A, Neuerburg JM, Adam GB, Glowinski A, Schaeffter T, Rasche V, van Vaals JJ, GĂĽnther RW (2001). "Real-time MR guidance for inferior vena cava filter placement in an animal model".
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These are usually very controversial reasons to do an IVC filter, and most radiologists and doctors generally will not recommend an IVC filter if other options are available instead.
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Guyatt, GH; Akl, EA; Crowther, M; Gutterman, DD; SchuĂĽnemann, HJ; American College of Chest Physicians Antithrombotic Therapy and Prevention of Thrombosis, Panel. (February 2012).
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While these side effects are not common (less than 10-20% of patients), many do report issues stemming from the placement and complication of the IVC while inside of the body.
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Filter fracture: Broken struts migrate to retroperitoneum, requiring exploration. Also struts can migrate to the heart and can cause pericardial effusion and tamponade.
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Williams R, Schenk W (1970). "A removable intracaval filter for prevention of pulmonary embolism: early experience with the use of the Eichelter catheter in patients".
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Grassi CJ, Matsumoto AH, Teitelbaum GP (1992). "Vena caval occlusion after Simon nitinol filter placement: identification with MR imaging in patients with malignancy".
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Kim D, Edelman RR, Margolin CJ, Porter DH, McArdle CR, Schlam BW, Gianturco LE, Siegel JB, Simon M (1992). "The Simon nitinol filter: evaluation by MR and ultrasound".
957:"Executive summary: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines" 2226:
Shellock FG. Reference Manual for Magnetic Resonance Safety, Implants, and Devices: 2006 Edition. Los Angeles, Calif: Biomedical Research Publishing Group; 2006.
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McKenzie S, et al. (2010). "An Australian experience of retrievable inferior vena cava filters in patients with increased risk of thromboembolic disease".
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Kalavakunta, Jagadeesh K.; Thomas, Christopher S.; Gupta, Vishal (2009-11-01). "A needle through the heart: rare complication of inferior vena caval filters".
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Frahm C, Gehl HB, Lorch H, Zwaan M, Drobnitzky M, Laub GA, Weiss HD (1998). "MR-guided placement of a temporary vena cava filter: technique and feasibility".
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Studies of MR examination of both animals and humans, with implanted IVC filters, have not reported complications or symptomatic filter displacement.
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Emerson, RH Jr.; Cross R; Head WC (1991). "Prophylactic and early therapeutic use of the Greenfield filter in hip and knee joint arthroplasty".
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Ferris, EJ; McCowen TC; Carver DK; McFarland DR (1993). "Percutaneous inferior vena cava filters: follow-up of seven designs in 320 patients".
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Puram, B; Maley TJ; White NM; Rotman HH; Miller G (1990). "Acute myocardial infarction resulting from the migration of a Greenfield filter".
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Villard, J; Detry L; Clermont A; Pinet F (1987). "Eight cases of Greenfield filters in the right heart cavities: their surgical treatment".
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Several animal studies have even used "real-time" MR for the placement of IVC filters to check for rotation, sheering, and other artifacts.
337: 134: 1392: 344:. While IVC filters are associated with a long term risk of DVT, they are not, alone, reason enough to maintain extended anticoagulation. 246:
This is a maybe category; normally it represents patients who could benefit from an IVC filter, but may be just fine without one as well.
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Howerton, RM; Watkins M; Feldman L (1991). "Late arterial hemorrhage secondary to a Greenfield filter requiring operative intervention".
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Kiproff PM, Deeb ZL, Contractor FM, Khoury MB (1991). "Magnetic resonance characteristics of the LGM vena cava filter: technical note".
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For patients who have been denied MRI scans for safety reasons, doctors usually recommend the CT scan with contrast as an alternative.
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time that protection is needed to prevent pulmonary emboli from passing to the heart and lungs. One such guideline is outlined below:
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Mobin-Uddin K, Callard GM, Bolooki H, Rubinson R, Michie D, Jude JR (1972). "Transvenous caval interruption with umbrella filter".
592:(the large vein in the neck) or the arm veins with one design. Choice of route depends mainly on the number and location of any 230:
These are patients that should strongly consider having IVC filter placement, as they are at greatest risk of pulmonary embolus.
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Axial CT image confirms that one of the legs (arrow) of the IVC filter has migrated out of the IVC wall into an adjacent tissue.
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where it would form a pulmonary embolism. Their effectiveness and safety profile is well established, and they may be used when
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Uncertain risk of PE and/or lack of control for anticoagulation: Usually results in permanent filters for long term management
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Bach, JR; Zaneuski R; Lee H (1990). "Cardiac arrhythmias from a malpositioned Greenfield filter in a traumatic quadriplegic".
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Greenfield, LJ; Peyton R; Crute S; Barnes R (1981). "Greenfield vena caval filter experience: late results in 156 patients".
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journalism of the type that reports interesting unusual causes and solutions of symptoms; in this instance, the symptom was
2287:"A case of deep venous thrombosis with a double inferior vena cava effectively treated by suprarenal filter implantation" 2860: 2850: 2634: 2458: 1231: 398: 360:
Abdominal radiograph shows that one of the legs (arrows) of the IVC filter is pointed away from the expected IVC lumen.
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Ability to retrieve the filter: No complications, no tear probability, no trauma probability; if so, remove temporary
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Lahey, SJ; Meyer LP; Karchmer AW; et al. (1991). "Misplaced caval filter and subsequent pericardial tamponade".
1281: 324:. Physicians speculate that this problem is uncommon but nonetheless worth consideration in differential diagnosis. 96: 2503: 1718:
Poillaud, C; Paillard F; Biron Y; Gouffault J (1988). "Proximal migration of a caval filter: apropos of a case".
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Filter Lodged in Heart: Causes life-threatening arrhythmia and often requires pacemakers to resolve condition.
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Numerous small published articles and case studies report describe similar issues to the above. Most notably:
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Holly, BP; Funaki, B; Lessne, ML (September 2018). "Inferior Vena Cava Filters: Why, Who, and for How Long?".
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filter, as most of the steel, and other ferromagnetic material devices have been discontinued via the FDA.
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Short-term risk of PE/Short-term contraindication of anticoagulation: Usually merits a retrievable filter
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Retrievable filters are fitted with a device (varying from model to model) that allows them to be easily
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Proven VTE: Venous thromboembolism and contraindication or complication due to anticoagulation therapy
1393:"Inferior Vena Cava (IVC) Filters: initial Communication: Risk of Adverse Events with Long Term Usage" 174: 2733: 2213:
MRI safety. Institute for Magnetic Resonance Safety, Education, and Research Web site. Available at:
1450:"A complication of the Greenfield filter: fracture and distal migration of two struts, a case report" 393: 2692: 2687: 2639: 1890:
Watanabe AT, Teitelbaum GP, Gomes AS, Roehm JO Jr (1990). "MR imaging of the bird's nest filter".
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Proven VTE: High risk of contraindication or complication to arise during anticoagulation therapy
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Misplaced Filter: Causes pericardiac tamponade requiring surgery under cardiopulmonary bypass.
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No expected near-term high-risk PE: Continuation of anticoagulation therapy, remove temporary
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Guyatt, GH; Akl, EA; Crowther, M; SchĂĽnemann, HJ; Gutterman, DD; Lewis, SZ (February 2012).
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In those with initial acute proximal DVT or acute PE who had IVC filters placed instead of
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Appleberg, M; Crozier JA (1991). "Duodenal penetration by a Greenfield caval filter".
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Perforation of filter strut into small-bowel: Requires surgery to repair perforation.
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Common issues relating to failure, to include death (the other 4% of cases) include:
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9% (12 of 132 patients) delayed filter penetration of the IVC greater than 3 mm
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Low risk of significant PE: Continued anticoagulation is working, remove temporary
254: 146: 173:. The Mobin-Uddin filter was later replaced by the Greenfield filter developed by 1868: 222:
developed the following guidelines to see if someone qualifies for implantation:
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Sudden Death: Caused by the filter migrating to an active region in the heart.
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Kinney, Thomas; Cameron, S; Sass, P; Zoller, M; Wigler, M (1 September 2006).
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and pulled back into a catheter and removed from the body, often through the
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Perforation into the duodenum: Resulting in severe diarrhea and weight loss.
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Filter Migration to Right Atrium: Resulting in acute myocardial infarction.
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Poor compliance: INR levels are not stable, not taking medicine as directed
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Transient risk of VTE: Trauma, surgical procedures or medical conditions
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No VTE: Anticoagulation therapy is not possible (high risk of bleeding)
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person at all time, that can help isolate if it is safe to do an MRI.
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Thrombolysis: Iliocaval DVT's, which are emboli in the Illiac region
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Long-term risk of PE/recurrent PE/recurrent DVT: permanent filter
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Caval filter migrated to heart or pulmonary artery (4 patients)
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Inferior vena cava filter as seen on plain X ray of the abdomen
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Kupferschmid, JP; Dickson CS; Townsend RN; Diamond DL (1992).
1739:"Migration of the Simon nitinol vena cava filter to the chest" 1282:"When He Stood Up Quickly, He Sometimes Fainted. What Was It?" 376: 1301:"Vena caval filters for the prevention of pulmonary embolism" 722:"Vena caval filters for the prevention of pulmonary embolism" 536:
than use an IVC, even if requested or referred via a doctor.
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De Gregorio, MA; Guirola, JA; Sierre, S (24 December 2021).
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Heart Migration: Requires surgery to remove IVC from heart.
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LaPlante, JS; Contractor FM; Kiproff PM; Khoury MB (1993).
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heart filter remaining in place for longer than necessary.
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suggested, in 2012, that they receive a standard course of
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American Journal of Physical Medicine & Rehabilitation
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Life expectancy of more than six months: Remove temporary
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Image showing an inferior vena cava filter in its position
1232:"Guidelines for the use of retrievable vena cava filters" 654:
http://www.cookmedical.com/di/di_front/images/dif_bu1.jpg
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Recurrent VTE: Despite adequate anticoagulation therapy
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which had a lower rate of filter related complications.
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Arterial hemorrhage: Requires surgery to avoid death.
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Taheri, SA; Kulaylat MN; Johnson E; Hoover E (1992).
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Liebman CE, Messersmith RN, Levin DN, Lu CT (1988).
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Parts of filter broke off in 2% (5 of 230 patients)
336:, and who have their risk of bleeding resolve, the 54: 46: 29: 403:This section needs editing and better referencing. 1299:Young, Tim; Sriram, Krishna Bajee (2020-10-08). 820:Journal of Vascular and Interventional Radiology 528:Migration of Filter to Chest: Requires surgery. 715: 713: 618:application of nonpermanent vena cava filters. 303:No need for permanent filter: Remove temporary 2285:Mano, Tatsumi T; Sakai H; et al. (2004). 1132: 1130: 2466: 652:Gunther Tulip IVC Filter. Cook Medical. URL: 8: 2046:Bartels LW, Bakker CJ, Viergever MA (2002). 1395:. United States Food and Drug Administration 1255:"IVC filter placement in bariatric patients" 1305:The Cochrane Database of Systematic Reviews 1137:Galanaud JP, Laroche JP, Righini M (2013). 726:The Cochrane Database of Systematic Reviews 439:significance of the use of long-term IVCs. 2716: 2499: 2473: 2459: 2451: 1225: 1223: 169:who published his findings in 1969 in the 41:Inferior vena cava filter - Gunther Tulip. 35: 2302: 2261: 2112: 2063: 1795: 1754: 1465: 1332: 1203: 1154: 1110: 1034: 980: 870: 745: 693: 683: 426:Learn how and when to remove this message 917:Surgery for Obesity and Related Diseases 156: 1004: 1002: 1000: 950: 948: 946: 720:Young, T; Sriram, KB (8 October 2020). 645: 137:recommended IVC filters for those with 1720:Annales de Cardiology et d'AngĂ©iologie 896: 886: 26: 1143:Journal of Thrombosis and Haemostasis 7: 2242:Seminars in Interventional Radiology 1370:10.1001/archsurg.1981.01380230065010 853:PREPIC Study, Group (19 July 2005). 635:Indications for removing IVC filters 338:American College of Chest Physicians 165:The first IVC filter was created by 135:American College of Chest Physicians 2671:Extracorporeal membrane oxygenation 588:(the large vein in the groin), the 294:Indications for removing IVC filter 65: 2666:Isolated organ perfusion technique 1538:10.1111/j.1445-2197.1991.tb00017.x 1491:The Journal of Invasive Cardiology 1280:Sanders, Lisa (30 November 2022). 832:10.1097/01.rvi.0000203418-39769.0d 145:who either have acute PE or acute 25: 2101:American Journal of Roentgenology 1743:American Journal of Roentgenology 872:10.1161/circulationaha.104.512834 656:. Accessed on: November 24, 2007. 114:The filter is designed to trap a 1670:10.1097/00002060-199010000-00005 381: 2729:Digital subtraction angiography 1904:10.1148/radiology.177.2.2217801 1427:10.1148/radiology.188.3.8351361 1060:New England Journal of Medicine 171:New England Journal of Medicine 2754:Magnetic resonance angiography 1391:Food and Drug Administration. 1317:10.1002/14651858.CD006212.pub5 738:10.1002/14651858.CD006212.pub5 118:and prevent its travel to the 103:to prevent a life-threatening 1: 2825:Ankle–brachial pressure index 2150:10.1016/s1051-0443(07)61448-1 2025:10.1016/s1051-0443(92)72008-9 1857:Archives of Internal Medicine 1833:10.1016/s0883-5403(11)80007-0 1188:"Kazi Mobin-Uddin, 1930-1999" 1112:10.1016/s0741-5214(95)70156-7 605:setting of contrast allergy, 482:Less common adverse reactions 147:proximal deep vein thrombosis 2635:Endovascular aneurysm repair 2238:"Inferior Vena Cava Filters" 1869:10.1001/archinte.147.12.2177 1797:10.1016/0741-5214(92)90427-a 1600:10.1016/0003-4975(91)90805-z 1467:10.1016/0741-5214(92)90424-7 672:Journal of Clinical Medicine 566:Labeling and recommendations 465:Perforation of the vena cava 1927:Cardiovasc Intervent Radiol 1784:Journal of Vascular Surgery 1454:Journal of Vascular Surgery 1192:Journal of Vascular Surgery 1099:Journal of Vascular Surgery 1072:10.1056/NEJM197201132860202 929:10.1016/j.soard.2006.03.009 450:Device-associated morbidity 401:. The specific problem is: 97:interventional radiologists 2877: 2394:10.1053/j.tvir.2004.02.006 1982:10.1177/000331979204300701 1588:Annals of Thoracic Surgery 397:to meet Knowledge (XXG)'s 2217:. Accessed June 19, 2006. 1756:10.2214/ajr.160.2.8424358 783:10.1016/j.ccm.2018.04.015 771:Clinics in Chest Medicine 462:Insertion-site thrombosis 81:inferior vena cava filter 66: 34: 30:Inferior vena cava filter 2856:Interventional radiology 2795:Intravascular ultrasound 2749:Radionuclide angiography 2215:http://www.MRIsafety.com 474:Thrombotic complications 267:Prophylactic indications 2800:Carotid ultrasonography 2744:Fluorescein angiography 2417:International Angiology 2382:Tech Vasc Interv Radiol 2185:10.1002/jmri.1880080121 1821:Journal of Arthroplasty 1635:10.1378/chest.98.6.1510 1205:10.1067/mva.2000.108645 915:consensus conference". 322:orthostatic hypotension 194:temporary IVC filters. 124:anticoagulant treatment 2779:Impedance phlebography 2656:Cardiopulmonary bypass 2564:Ambulatory phlebectomy 2532:Carotid endarterectomy 2291:Japanese Heart Journal 2114:10.2214/ajr.150.5.1174 1526:ANZ Journal of Surgery 607:chronic kidney disease 369: 361: 190: 162: 109:venous thromboembolism 87:made of metal that is 2254:10.1055/s-2006-948760 1027:10.1378/chest.11-2286 590:internal jugular vein 367: 359: 253:Large, free-floating 217:Indication categories 188: 160: 2734:Cerebral angiography 2495:Endovascular surgery 2173:J Magn Reson Imaging 2138:J Vasc Interv Radiol 2013:J Vasc Interv Radiol 1186:Hussain, SA (1999). 1021:(2 Suppl): 48S–52S. 973:10.1378/chest.1412S3 477:Vena cava thrombosis 408:improve this article 242:Relative indications 226:Absolute indications 2861:Vascular procedures 2851:Implants (medicine) 2693:Seldinger technique 2688:First rib resection 2640:Open aortic surgery 2304:10.1536/jhj.45.1063 1701:Annals of Radiology 1567:(3 Pt 1): 265–268. 1358:Archives of Surgery 967:(2 Suppl): 7S–47S. 685:10.3390/jcm11010077 456:Filter embolization 126:is not sufficient. 1939:10.1007/bf02578474 1286:The New York Times 899:has generic name ( 370: 362: 191: 163: 149:(above the knee). 105:pulmonary embolism 101:inferior vena cava 2838: 2837: 2808: 2807: 2706: 2705: 2683:Revascularization 2065:10.1002/mrm.10004 1863:(12): 2177–2179. 1364:(11): 1451–1456. 1234:. Touch Briefings 1156:10.1111/jth.12127 1093:Cain, PG (1995). 436: 435: 428: 399:quality standards 390:This article may 373:FDA communication 283:Other indications 139:contraindications 93:vascular surgeons 77: 76: 16:(Redirected from 2868: 2813:Other diagnostic 2717: 2544:Carotid stenting 2504:Arterial disease 2500: 2482:Vascular surgery 2475: 2468: 2461: 2452: 2433: 2432: 2412: 2406: 2405: 2377: 2371: 2370: 2350: 2344: 2343: 2334:(ECR30): ECR30. 2323: 2317: 2316: 2306: 2297:(6): 1063–1069. 2282: 2276: 2275: 2265: 2233: 2227: 2224: 2218: 2211: 2205: 2204: 2168: 2162: 2161: 2133: 2127: 2126: 2116: 2107:(5): 1174–1176. 2092: 2086: 2085: 2067: 2043: 2037: 2036: 2008: 2002: 2001: 1965: 1959: 1958: 1922: 1916: 1915: 1887: 1881: 1880: 1851: 1845: 1844: 1816: 1810: 1809: 1799: 1775: 1769: 1768: 1758: 1734: 1728: 1727: 1715: 1709: 1708: 1696: 1690: 1689: 1653: 1647: 1646: 1629:(6): 1510–1511. 1618: 1612: 1611: 1583: 1577: 1576: 1556: 1550: 1549: 1521: 1515: 1514: 1497:(11): E221–223. 1486: 1480: 1479: 1469: 1445: 1439: 1438: 1410: 1404: 1403: 1401: 1400: 1388: 1382: 1381: 1353: 1347: 1346: 1336: 1311:(10): CD006212. 1296: 1290: 1289: 1277: 1266: 1265: 1263: 1262: 1250: 1244: 1243: 1241: 1239: 1227: 1218: 1217: 1207: 1183: 1177: 1176: 1158: 1134: 1125: 1124: 1114: 1090: 1084: 1083: 1055: 1049: 1048: 1038: 1006: 995: 994: 984: 952: 941: 940: 911: 905: 904: 898: 894: 892: 884: 874: 850: 844: 843: 814: 803: 802: 766: 760: 759: 749: 732:(12): CD006212. 717: 708: 707: 697: 687: 663: 657: 650: 453:Device migration 431: 424: 420: 417: 411: 385: 384: 377: 175:Lazar Greenfield 167:Kazi Mobin-Uddin 70:edit on Wikidata 39: 27: 21: 18:Vena cava filter 2876: 2875: 2871: 2870: 2869: 2867: 2866: 2865: 2841: 2840: 2839: 2834: 2804: 2783: 2760: 2712:Medical imaging 2702: 2678:Vascular access 2644: 2622:Aortic aneurysm 2616: 2583: 2550: 2512:Vascular bypass 2493: 2484: 2479: 2447:- emedicine.com 2441: 2436: 2414: 2413: 2409: 2379: 2378: 2374: 2361:(6): 999–1008. 2352: 2351: 2347: 2325: 2324: 2320: 2284: 2283: 2279: 2235: 2234: 2230: 2225: 2221: 2212: 2208: 2170: 2169: 2165: 2135: 2134: 2130: 2094: 2093: 2089: 2045: 2044: 2040: 2010: 2009: 2005: 1967: 1966: 1962: 1924: 1923: 1919: 1889: 1888: 1884: 1853: 1852: 1848: 1818: 1817: 1813: 1777: 1776: 1772: 1736: 1735: 1731: 1717: 1716: 1712: 1698: 1697: 1693: 1655: 1654: 1650: 1620: 1619: 1615: 1585: 1584: 1580: 1558: 1557: 1553: 1532:(12): 957–960. 1523: 1522: 1518: 1488: 1487: 1483: 1447: 1446: 1442: 1412: 1411: 1407: 1398: 1396: 1390: 1389: 1385: 1355: 1354: 1350: 1298: 1297: 1293: 1279: 1278: 1269: 1260: 1258: 1257:. Endovsc Today 1252: 1251: 1247: 1237: 1235: 1229: 1228: 1221: 1185: 1184: 1180: 1136: 1135: 1128: 1092: 1091: 1087: 1057: 1056: 1052: 1008: 1007: 998: 954: 953: 944: 913: 912: 908: 895: 885: 852: 851: 847: 816: 815: 806: 768: 767: 763: 719: 718: 711: 665: 664: 660: 651: 647: 643: 615: 577: 568: 542: 484: 459:Filter fracture 432: 421: 415: 412: 405: 386: 382: 375: 350: 342:anticoagulation 334:anticoagulation 330: 328:Anticoagulation 296: 285: 269: 244: 228: 219: 183: 155: 143:anticoagulation 73: 42: 23: 22: 15: 12: 11: 5: 2874: 2872: 2864: 2863: 2858: 2853: 2843: 2842: 2836: 2835: 2833: 2832: 2827: 2822: 2816: 2814: 2810: 2809: 2806: 2805: 2803: 2802: 2797: 2791: 2789: 2785: 2784: 2782: 2781: 2776: 2770: 2768: 2762: 2761: 2759: 2758: 2757: 2756: 2751: 2746: 2741: 2736: 2725: 2723: 2714: 2708: 2707: 2704: 2703: 2701: 2700: 2698:Vascular snare 2695: 2690: 2685: 2680: 2675: 2674: 2673: 2663: 2658: 2652: 2650: 2646: 2645: 2643: 2642: 2637: 2631: 2629: 2618: 2617: 2615: 2614: 2609: 2604: 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1302: 1295: 1292: 1287: 1283: 1276: 1274: 1272: 1268: 1256: 1253:Baumann, DS. 1249: 1246: 1233: 1230:Kaufman, JA. 1226: 1224: 1220: 1215: 1211: 1206: 1201: 1197: 1193: 1189: 1182: 1179: 1174: 1170: 1166: 1162: 1157: 1152: 1149:(3): 402–11. 1148: 1144: 1140: 1133: 1131: 1127: 1122: 1118: 1113: 1108: 1104: 1100: 1096: 1089: 1086: 1081: 1077: 1073: 1069: 1065: 1061: 1054: 1051: 1046: 1042: 1037: 1032: 1028: 1024: 1020: 1016: 1012: 1005: 1003: 1001: 997: 992: 988: 983: 978: 974: 970: 966: 962: 958: 951: 949: 947: 943: 938: 934: 930: 926: 923:(2): 200–12. 922: 918: 910: 907: 902: 897:|first1= 890: 882: 878: 873: 868: 865:(3): 416–22. 864: 860: 856: 849: 846: 841: 837: 833: 829: 825: 821: 813: 811: 809: 805: 800: 796: 792: 788: 784: 780: 776: 772: 765: 762: 757: 753: 748: 743: 739: 735: 731: 727: 723: 716: 714: 710: 705: 701: 696: 691: 686: 681: 677: 673: 669: 662: 659: 655: 649: 646: 640: 638: 636: 630: 628: 624: 619: 612: 610: 608: 602: 600: 595: 591: 587: 583: 574: 572: 565: 563: 560: 556: 553: 550: 546: 539: 537: 530: 527: 524: 521: 518: 515: 512: 509: 506: 503: 502: 501: 495: 492: 489: 488: 487: 481: 476: 473: 470: 468:Recurrent DVT 467: 464: 461: 458: 455: 452: 449: 448: 447: 444: 440: 430: 427: 419: 409: 404: 400: 396: 395: 388: 379: 378: 372: 366: 358: 354: 347: 345: 343: 339: 335: 327: 325: 323: 314: 311: 308: 305: 302: 301: 300: 293: 287: 286: 282: 277: 274: 273: 272: 266: 261: 258: 256: 255:proximal DVTs 252: 249: 248: 247: 241: 236: 233: 232: 231: 225: 223: 216: 211: 208: 205: 201: 200: 199: 195: 187: 180: 178: 176: 172: 168: 159: 152: 150: 148: 144: 140: 136: 133:In 2012, the 131: 127: 125: 121: 117: 112: 110: 106: 102: 98: 94: 90: 86: 82: 71: 62: 59: 57: 53: 49: 45: 38: 33: 28: 19: 2830:Toe pressure 2661:Cardioplegia 2423:(1): 53–57. 2420: 2416: 2410: 2385: 2381: 2375: 2358: 2354: 2348: 2331: 2327: 2321: 2294: 2290: 2280: 2245: 2241: 2231: 2222: 2209: 2176: 2172: 2166: 2141: 2137: 2131: 2104: 2100: 2090: 2055: 2051: 2041: 2016: 2012: 2006: 1973: 1969: 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1415:Radiology 1325:1469-493X 678:(1): 77. 613:Retrieval 582:catheters 575:Placement 99:into the 89:implanted 56:Specialty 2589:Arterial 2539:Stenting 2490:Vascular 2429:20224533 2402:15252767 2340:16785133 2313:15655283 2272:21326769 2201:30617216 2158:11389228 2082:24558910 2074:11754456 1998:33310735 1686:36313307 1511:19901424 1343:33027844 1214:10918004 1173:23288926 1165:23297815 1045:22315255 991:22315257 937:16925346 881:16009794 840:16567669 799:52041660 791:30122187 756:33027844 704:35011826 392:require 289:therapy. 107:(PE) or 2367:5483252 2355:Surgery 2263:3036373 2193:9500268 2123:3258722 2033:1515724 1990:1626731 1955:5815275 1947:1913742 1912:2217801 1877:3500686 1841:1875203 1806:1619711 1765:8424358 1678:2222985 1643:2245696 1608:1989549 1573:2000557 1561:Surgery 1546:1755779 1476:1619731 1435:8351361 1378:7305658 1334:8971091 1121:7674480 1080:5006878 1036:3278068 982:3278060 747:8971091 695:8745208 394:cleanup 203:surgery 153:History 111:(VTE). 2595:access 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Index

Vena cava filter

Specialty
Cardiovascular
edit on Wikidata
medical device
implanted
vascular surgeons
interventional radiologists
inferior vena cava
pulmonary embolism
venous thromboembolism
blood clot
lung
anticoagulant treatment
American College of Chest Physicians
contraindications
anticoagulation
proximal deep vein thrombosis
3D Medical Animation still shot showing the Inferior vena cava filter
Kazi Mobin-Uddin
New England Journal of Medicine
Lazar Greenfield

proximal DVTs
orthostatic hypotension
anticoagulation
American College of Chest Physicians
anticoagulation

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