The role of an IVC filter retrieval clinic—A single center retrospective analysis
Background: Inferior vena cava (IVC) filter placement still plays an essential role in preventing pulmonary embolism (PE) in patients with contraindications to anticoagulant therapy. However, IVC filter placement does have long-term risks which may be mitigated by retrieving them as soon as clinical...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-10-01
|
Series: | Indian Journal of Radiology and Imaging |
Subjects: | |
Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/ijri.IJRI_258_19 |
id |
doaj-f76ed4dffe344dbfbfd2466273cf7d80 |
---|---|
record_format |
Article |
spelling |
doaj-f76ed4dffe344dbfbfd2466273cf7d802021-07-21T22:45:00ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082019-10-01290439139610.4103/ijri.IJRI_258_19The role of an IVC filter retrieval clinic—A single center retrospective analysisPhilip A Schuchardt0Junaid T Yasin1Ryan M Davis2Sanjit O Tewari3Ambarish P Bhat4Department of Radiology, Section of Interventional Radiology, University of Missouri-Columbia, Columbia 65212, MODepartment of Radiology, Section of Interventional Radiology, University of Missouri-Columbia, Columbia 65212, MODepartment of Radiology, Section of Interventional Radiology, University of Missouri-Columbia, Columbia 65212, MODepartment of Interventional Radiology, SUNY Upstate Medical University, Syracuse 13210, NY, USADepartment of Radiology, Section of Interventional Radiology, University of Missouri-Columbia, Columbia 65212, MOBackground: Inferior vena cava (IVC) filter placement still plays an essential role in preventing pulmonary embolism (PE) in patients with contraindications to anticoagulant therapy. However, IVC filter placement does have long-term risks which may be mitigated by retrieving them as soon as clinically acceptable. A dedicated IVC filter clinic provides a potential means of assuring adequate follow-up and retrieval. Aim: To assess the efficacy of our Inferior vena cava (IVC) filter retrieval clinic at improving the rate of patient follow-up, effective filter management, and retrieval rates. Materials and Methods: During the period of August 2017 through July 2018, 70 IVC filters were placed at our institution, and these patients were automatically enrolled into our IVC filter retrieval clinic for quarterly follow-up. We retrospectively reviewed data including appropriateness for removal at 3 months, overall retrieval rates, removal technique(s) employed, and technical success. Results: 62.9% of the potentially retrievable filters were removed during the study period. The technical success of extraction, using a combination of standard and advanced techniques, was 91.7%. Overall, 15% of the patients were lost to follow-up. Conclusion: Our findings add to the growing body of literature to support the need for a robust IVC filter retrieval clinic to ensure adequate follow-up and timely retrieval of IVC filters.http://www.thieme-connect.de/DOI/DOI?10.4103/ijri.IJRI_258_19anticoagulationhangman techniqueivc filterloop snarepulmonary embolismretrievalvenous thromboembolism |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Philip A Schuchardt Junaid T Yasin Ryan M Davis Sanjit O Tewari Ambarish P Bhat |
spellingShingle |
Philip A Schuchardt Junaid T Yasin Ryan M Davis Sanjit O Tewari Ambarish P Bhat The role of an IVC filter retrieval clinic—A single center retrospective analysis Indian Journal of Radiology and Imaging anticoagulation hangman technique ivc filter loop snare pulmonary embolism retrieval venous thromboembolism |
author_facet |
Philip A Schuchardt Junaid T Yasin Ryan M Davis Sanjit O Tewari Ambarish P Bhat |
author_sort |
Philip A Schuchardt |
title |
The role of an IVC filter retrieval clinic—A single center retrospective analysis |
title_short |
The role of an IVC filter retrieval clinic—A single center retrospective analysis |
title_full |
The role of an IVC filter retrieval clinic—A single center retrospective analysis |
title_fullStr |
The role of an IVC filter retrieval clinic—A single center retrospective analysis |
title_full_unstemmed |
The role of an IVC filter retrieval clinic—A single center retrospective analysis |
title_sort |
role of an ivc filter retrieval clinic—a single center retrospective analysis |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
series |
Indian Journal of Radiology and Imaging |
issn |
0971-3026 1998-3808 |
publishDate |
2019-10-01 |
description |
Background: Inferior vena cava (IVC) filter placement still plays an essential role in preventing pulmonary embolism (PE) in patients with contraindications to anticoagulant therapy. However, IVC filter placement does have long-term risks which may be mitigated by retrieving them as soon as clinically acceptable. A dedicated IVC filter clinic provides a potential means of assuring adequate follow-up and retrieval. Aim: To assess the efficacy of our Inferior vena cava (IVC) filter retrieval clinic at improving the rate of patient follow-up, effective filter management, and retrieval rates. Materials and Methods: During the period of August 2017 through July 2018, 70 IVC filters were placed at our institution, and these patients were automatically enrolled into our IVC filter retrieval clinic for quarterly follow-up. We retrospectively reviewed data including appropriateness for removal at 3 months, overall retrieval rates, removal technique(s) employed, and technical success. Results: 62.9% of the potentially retrievable filters were removed during the study period. The technical success of extraction, using a combination of standard and advanced techniques, was 91.7%. Overall, 15% of the patients were lost to follow-up. Conclusion: Our findings add to the growing body of literature to support the need for a robust IVC filter retrieval clinic to ensure adequate follow-up and timely retrieval of IVC filters. |
topic |
anticoagulation hangman technique ivc filter loop snare pulmonary embolism retrieval venous thromboembolism |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/ijri.IJRI_258_19 |
work_keys_str_mv |
AT philipaschuchardt theroleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis AT junaidtyasin theroleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis AT ryanmdavis theroleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis AT sanjitotewari theroleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis AT ambarishpbhat theroleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis AT philipaschuchardt roleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis AT junaidtyasin roleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis AT ryanmdavis roleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis AT sanjitotewari roleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis AT ambarishpbhat roleofanivcfilterretrievalclinicasinglecenterretrospectiveanalysis |
_version_ |
1721292353647411200 |