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...

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Main Authors: Philip A Schuchardt, Junaid T Yasin, Ryan M Davis, Sanjit O Tewari, Ambarish P Bhat
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
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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
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