Indications, complications, and removal of Inferior vena cava filters in a hospital in Colombia

ABSTRACT: Inferior Vena Cava Filters (IVCF) are endovascular devices used to reduce the risk of pulmonary embolism (PE) and death in patients with acute proximal venous thromboembolic disease (VTE) who are unable to receive anticoagulation therapy, or in patients with recurring PE despite appropriate anticoagulation therapy 1. The problem with IVCFs apart from complications due to migration and breakage of the device is that their long-term use paradoxically increases the risk of deep venous thrombosis (DVT) 2. For this reason, IVCFs should be removed as soon as anticoagulation therapy is no longer contraindicated3. However, the literature on the subject shows that a large percentage of IVCFs are left in place and never removed 4. Additionally, there is an increased use of IVCFs in scenarios where its use is not evidence based such as primary prophylaxis in trauma or bariatric surgery, and in patients submitted to lower limb local thrombolysis or pulmonary endarterectomy 5,6. These practice exposes patients to the risk of iatrogenic thrombotic complications and increase health care costs. No data has been published regarding the use of IVC filters in Colombia. The objective of this study is to evaluate the indications, practices, removal rates, and complications of IVC filters in a Colombian university hospital.

• Autores: Yepes Gallego, Viviana Andrea; Arrieta Bechara, Juan Carlos; Toro, Keiner; Arango, Isabel Cristina
• Tipo de recurso: Article of investigation
• Fecha de publicación: 2019
• Institución: Universidad de Antioquia
• Repositorio: Repositorio UdeA
• Idioma: eng
• OAI Identifier: oai:bibliotecadigital.udea.edu.co:10495/15163
• Acceso en línea: http://hdl.handle.net/10495/15163
• Palabra clave: Trombosis de la vena; Venous Thrombosis; Tromboembolia Venosa; Venous Thromboembolism; Filtros de Vena Cava; Vena Cava Filters
• Rights: embargoedAccess
• License: http://creativecommons.org/licenses/by-nc-nd/2.5/co/