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- Title
Review of Indications and Practices of Vena Caval Filters at a Large University Hospital.
- Authors
Meisner, Robert J.; Labropoulos, Nicos; Gasparis, Antonios P.; Lampl, Jenica; Xu, Min; Tassiopoulos, Apostolos K.
- Abstract
Background: Vena caval filter (VCF) use has been increasing in recent years. Prophylactic VCF placement has been applied liberally in high-risk patients. Methods: Consecutive patients with VCF placement over a 2-year period at a university hospital were reviewed. Results: A total of 244 patients underwent VCF placement in 2 years. Of all, 54% of the patients had the VCF placed for an absolute indication, 14% for a relative indication, and 32% for prophylaxis. Only 14 (9%) of the retrievable filters were removed. Eight patients had a complication of VCF placement; there were no complications of filter retrieval. Vena caval filter placement for prophylaxis alone was 57% from the division of trauma and surgical critical care, 18.3% from interventional radiology department, and 5.2% from the division of vascular surgery. Conclusions: This study indicates that many VCFs are placed for prophylaxis. A low percentage of VCFs was retrieved. This may be the practice at many other large university-based hospitals, necessitating strategies for reducing their placement.
- Subjects
NEW York (State); THROMBOEMBOLISM prevention; THROMBOEMBOLISM treatment; ACADEMIC medical centers; FILTERS &; filtration; FISHER exact test; HEALTH outcome assessment; VEINS; PULMONARY embolism prevention; TREATMENT effectiveness; RETROSPECTIVE studies; MEDICAL device removal; EQUIPMENT &; supplies
- Publication
Vascular & Endovascular Surgery, 2012, Vol 46, Issue 1, p21
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574411422274