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 appropriat...
- 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/
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Indications, complications, and removal of Inferior vena cava filters in a hospital in Colombia |
| dc.title.translated.spa.fl_str_mv |
indicaciones, complicaciones y retiro de filtros de vena cava en un hospital en Colombia |
| title |
Indications, complications, and removal of Inferior vena cava filters in a hospital in Colombia |
| spellingShingle |
Indications, complications, and removal of Inferior vena cava filters in a hospital in Colombia Trombosis de la vena Venous Thrombosis Tromboembolia Venosa Venous Thromboembolism Filtros de Vena Cava Vena Cava Filters |
| title_short |
Indications, complications, and removal of Inferior vena cava filters in a hospital in Colombia |
| title_full |
Indications, complications, and removal of Inferior vena cava filters in a hospital in Colombia |
| title_fullStr |
Indications, complications, and removal of Inferior vena cava filters in a hospital in Colombia |
| title_full_unstemmed |
Indications, complications, and removal of Inferior vena cava filters in a hospital in Colombia |
| title_sort |
Indications, complications, and removal of Inferior vena cava filters in a hospital in Colombia |
| dc.creator.fl_str_mv |
Yepes Gallego, Viviana Andrea Arrieta Bechara, Juan Carlos Toro, Keiner Arango, Isabel Cristina |
| dc.contributor.author.none.fl_str_mv |
Yepes Gallego, Viviana Andrea Arrieta Bechara, Juan Carlos Toro, Keiner Arango, Isabel Cristina |
| dc.contributor.researcher.none.fl_str_mv |
Jaramillo Calle, Daniel Alexander |
| dc.subject.decs.none.fl_str_mv |
Trombosis de la vena Venous Thrombosis Tromboembolia Venosa Venous Thromboembolism Filtros de Vena Cava Vena Cava Filters |
| topic |
Trombosis de la vena Venous Thrombosis Tromboembolia Venosa Venous Thromboembolism Filtros de Vena Cava Vena Cava Filters |
| description |
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. |
| publishDate |
2019 |
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2019 |
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2020-06-25T18:37:13Z |
| dc.date.available.none.fl_str_mv |
2020-06-25T18:37:13Z |
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Artículo de investigación |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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https://purl.org/redcol/resource_type/ART |
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info:eu-repo/semantics/article |
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info:eu-repo/semantics/acceptedVersion |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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acceptedVersion |
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http://hdl.handle.net/10495/15163 |
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http://hdl.handle.net/10495/15163 |
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eng |
| language |
eng |
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/ |
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https://creativecommons.org/licenses/by-nc-nd/4.0/ |
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Atribución-NoComercial-SinDerivadas 2.5 Colombia (CC BY-NC-ND 2.5 CO) |
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| dc.publisher.spa.fl_str_mv |
Universidad de Antioquia |
| dc.publisher.place.spa.fl_str_mv |
Medellin, Colombia |
| dc.publisher.faculty.spa.fl_str_mv |
Facultad de Medicina. Especialización en Radiología |
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Universidad de Antioquia |
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Yepes Gallego, Viviana AndreaArrieta Bechara, Juan CarlosToro, KeinerArango, Isabel CristinaJaramillo Calle, Daniel Alexander2020-06-25T18:37:13Z2020-06-25T18:37:13Z2019http://hdl.handle.net/10495/15163ABSTRACT: 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.RESUMEN: Los filtros de vena cava inferior (FVCI) son dispositivos endovasculares utilizados para reducir el riesgo de trombo-embolia pulmonar (TEP) y muerte en pacientes con trombosis venosa profunda (TVP) proximal aguda y contraindicación absoluta de anticoagulación o con TEP recurrente a pesar de una adecuada anticoagulación 1. El problema con los FVCI es que entre otras complicaciones como fractura o migración del dispositivo, su uso a largo plazo, paradójicamente aumenta el riesgo de recurrencias de TVP 2. Por esta razón, el FVCI se debe retirar tan pronto como la contraindicación de anticoagulación se supere y se pueda iniciar la terapia anticoagulante según corresponda 3. Sin embargo, la literatura muestra que un gran porcentaje de los FVCI nunca se retiran 4. Adicionalmente, hay un uso creciente de FVCI en escenarios no basados en la evidencia, tales como profilaxis primaria en pacientes traumatizados, pacientes que van a ir a cirugía bariátrica, pacientes que van a ser sometidos a trombolisis venosa local de miembros inferiores o endarterectomía pulmonar 5,6. Esta práctica expone a los pacientes a riesgo de complicaciones trombóticas iatrogénicas y genera altos costos para los sistemas de salud. No existen datos publicados respecto al uso de FVCI en pacientes no oncológicos en Colombia. El objetivo de este estudio fue evaluar las indicaciones y tendencias de uso, retiro y complicaciones de los FVCI en pacientes no oncológicos en un hospital universitario de Colombia.EspecializaciónRadiólogo17application/pdfengUniversidad de AntioquiaMedellin, ColombiaFacultad de Medicina. Especialización en Radiologíahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/https://creativecommons.org/licenses/by-nc-nd/4.0/Atribución-NoComercial-SinDerivadas 2.5 Colombia (CC BY-NC-ND 2.5 CO)info:eu-repo/semantics/embargoedAccesshttp://purl.org/coar/access_right/c_f1cfIndications, complications, and removal of Inferior vena cava filters in a hospital in Colombiaindicaciones, complicaciones y retiro de filtros de vena cava en un hospital en ColombiaArtículo de investigaciónhttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionTrombosis de la venaVenous ThrombosisTromboembolia VenosaVenous ThromboembolismFiltros de Vena CavaVena Cava FiltersPublicationCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8712https://bibliotecadigital.udea.edu.co/bitstreams/a8c40860-ef88-4e23-a46c-1d82b8e1b263/downloadfd0548b8694973befb689f3e7a707f1dMD54falseAnonymousREADLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstreams/a99ff2c9-f603-4626-9259-7fc30ce4457a/download8a4605be74aa9ea9d79846c1fba20a33MD55falseAnonymousREADORIGINALYepesViviana_2019_IndicacionesRetiroFiltrosVenaCava.pdfYepesViviana_2019_IndicacionesRetiroFiltrosVenaCava.pdfTrabajo de grado de especializaciónapplication/pdf376844https://bibliotecadigital.udea.edu.co/bitstreams/785fbac0-1791-458d-892b-d2651f03c624/download85f4bccb1c1278d2df9d7433af3b79f3MD57trueAnonymousREAD2021-12-20TEXTYepesViviana_2019_IndicacionesRetiroFiltrosVenaCava.pdf.txtYepesViviana_2019_IndicacionesRetiroFiltrosVenaCava.pdf.txtExtracted texttext/plain19530https://bibliotecadigital.udea.edu.co/bitstreams/d09586fb-a564-41ee-804f-4f4466df8fc6/download00a662cbc07280ebcc3f133a896bf05fMD58falseAnonymousREAD2021-12-20THUMBNAILYepesViviana_2019_IndicacionesRetiroFiltrosVenaCava.pdf.jpgYepesViviana_2019_IndicacionesRetiroFiltrosVenaCava.pdf.jpgGenerated Thumbnailimage/jpeg8292https://bibliotecadigital.udea.edu.co/bitstreams/c503edf6-b4a6-4d28-9d62-9a58790935ff/downloadff6adc7f4de74e90ecff8fe85220e625MD59falseAnonymousREAD2021-12-2010495/15163oai:bibliotecadigital.udea.edu.co:10495/151632025-03-27 01:16:54.879http://creativecommons.org/licenses/by-nc-nd/2.5/co/open.accesshttps://bibliotecadigital.udea.edu.coRepositorio Institucional de la Universidad de Antioquiaaplicacionbibliotecadigitalbiblioteca@udea.edu.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 |