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Ivc filter risk factors

Gary W Jean, Katherine Kelly, Jennie Mathew, Eneko Larumbe, Randall Hughes
PURPOSE: The purpose of this study is to compare the rates of recurrent VTE among cancer patients treated with parenteral agents to the oral anticoagulants. METHODS: This single-center study was a retrospective chart review of cancer patients with recurrent VTE between January 1, 2009 and December 31, 2014. The primary outcome of the study is the rate of recurrent VTE in patients who received a parenteral anticoagulant (enoxaparin, dalteparin, fondaparinux) versus those who received oral anticoagulants (warfarin and rivaroxaban)...
August 20, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Kenneth I Aycock, Robert L Campbell, Frank C Lynch, Keefe B Manning, Brent A Craven
Inferior vena cava (IVC) filters have been used for nearly half a century to prevent pulmonary embolism in at-risk patients. However, complications with IVC filters remain common. In this study, we investigate the importance of considering the hemorheological and morphological effects on IVC hemodynamics by simulating Newtonian and non-Newtonian blood flow in three IVC models with varying levels of geometric idealization. Partial occlusion by an IVC filter and a thrombus is also considered. More than 99% of the infrarenal IVC volume is found to contain flow in the nonlinear region of the shear rate-viscosity curve for blood (less than 100 s(-1)) in the unoccluded IVCs...
June 6, 2016: Annals of Biomedical Engineering
Mary Jiayi Tao, Janice M Montbriand, Naomi Eisenberg, Kenneth W Sniderman, Graham Roche-Nagle
OBJECTIVE: The aim of this study was to investigate the practice pattern of inferior vena cava (IVC) filters and to determine factors predictive of filter retrievals at a multicenter, tertiary care institution. METHODS: A retrospective review of all IVC filter procedures performed between January 2001 and July 2013 was conducted. Data collected included demographics, venous thromboembolism risk factors, medical comorbidities, insertional and retrieval characteristics, referring services, complications, discharge, and follow-up management...
March 30, 2016: Journal of Vascular Surgery
Joshua D Dowell, Daniel Wagner, Eric Elliott, Vedat O Yildiz, Xueliang Pan
PURPOSE: To identify factors associated with advanced inferior vena cava filter (IVCF) retrieval to raise awareness on technical considerations, retrieval efficiency, and patient safety. MATERIALS AND METHODS: A single-center retrospective review was performed of 203 consecutive retrievable IVC filters placed between 2007 and 2014. Attempted retrievals were classified as advanced if the routine "snare and sheath" technique was initially unsuccessful after multiple attempts, or an alternate endovascular maneuver or access site was utilized...
February 2016: Cardiovascular and Interventional Radiology
Nancy E Epstein
BACKGROUND: Preoperative "prophylactic" placement of inferior vena cava (IVC) filters in morbidly obese patients (e.g., body mass index [BMI] >40 or BMI over 35 with hypertension/diabetes) undergoing multilevel decompressive lumbar laminectomies may reduce the risk of postoperative pulmonary embolism (PE), and death. METHODS: Two patients, ages 69 and 68, with morbid obesity (BMI's of 40.4 and 37.5 both with hypertension and diabetes), received prophylactic IVC filters prior to L1-S1 laminectomies...
2015: Surgical Neurology International
David M Sherer, Mudar Dalloul, Henry James Behar, Ghadir Salame, Roy Holland, Harry Zinn, Ovadia Abulafia
Background Pulmonary embolus (PE) remains a leading etiology of maternal mortality in the developed world. Increasing utilization of retrievable inferior vena cava (IVC) filter placement currently includes pregnant patients. Case A 22-year-old woman at 27 weeks' gestation was diagnosed with Stage IV high-grade malignant B cell lymphoma following pathologic femur fracture. Significant risk factors for PE led to placement of primary prophylaxis IVC filter before cesarean delivery, open reduction and internal fixation of the fractured femur, and chemotherapy...
October 2015: American Journal of Perinatology Reports
F H Li, Y Zhao, X H Wang, Q N Fu, H Liu, W Huang
OBJECTIVE: The aim was to study the risk factors associated with symptomatic pulmonary embolism (PE) in patients with deep venous thrombosis (DVT) in the lower limbs treated by catheter directed thrombolysis (CDT) without inferior vena cava filter (IVCF) placement. METHODS: A total 266 patients with acute/subacute ilio-femoral, ilio-femoropopliteal, and femoropopliteal thrombosis confirmed by computed tomography venography or ultrasound Doppler were studied. All patients were treated with CDT...
November 2015: European Journal of Vascular and Endovascular Surgery
Mark R Hemmila, Nicholas H Osborne, Peter K Henke, John P Kepros, Sujal G Patel, Anne H Cain-Nielsen, Nancy J Birkmeyer
OBJECTIVE: Trauma patients are at high risk for life-threatening venous thromboembolic (VTE) events. We examined the relationship between prophylactic inferior vena cava (IVC) filter use, mortality, and VTE. SUMMARY BACKGROUND DATA: The prevalence of prophylactic placement of IVC filters has increased among trauma patients. However, there exists little data on the overall efficacy of prophylactic IVC filters with regard to outcomes. METHODS: Trauma quality collaborative data from 2010 to 2014 were analyzed...
October 2015: Annals of Surgery
Felix Samuel Shonyela, Shuangqiang Yang, Bo Liu, Jia Jiao
Postoperative acute pulmonary embolism after pulmonary resections is highly fatal complication. Many literatures have documented cancer to be the highest risk factor for acute pulmonary embolism after pulmonary resections. Early diagnosis of acute pulmonary embolism is highly recommended and computed tomographic pulmonary angiography is the gold standard in diagnosis of acute pulmonary embolism. Anticoagulants and thrombolytic therapy have shown a great success in treatment of acute pulmonary embolism. Surgical therapies (embolectomy and inferior vena cava filter replacement) proved to be lifesaving but many literatures favored medical therapy as the first choice...
2015: Annals of Thoracic and Cardiovascular Surgery
Jennifer P Montgomery, John A Kaufman
Filter technology seems relatively stable, although absorbable devices are an area of investigational interest. The indications for filter placement remain controversial, with wide variations in adherence to guidelines, and relatively poor quality of data about the specific prophylactic indications of trauma or bariatric surgery. The outcomes of filters are not well-defined despite widespread clinical use, and good data remains difficult to obtain. Several larger database and institutional retrospective studies support the notions that while filters prevent pulmonary embolism, they may be associated with venous thrombotic complications...
September 2015: Current Treatment Options in Cardiovascular Medicine
Joshua D Dowell, Jordan C Castle, Maureen Schickel, Urbina K Andersson, Rachel Zielinski, Eric McLoney, Gregory Guy, Xiangyu Yang, Samir Ghadiali
PURPOSE: To identify risk factors for strut perforation following Celect inferior vena cava (IVC) filter (IVCF) placement and to use finite element modeling to predict the mechanical impact of long-dwelling filters. MATERIALS AND METHODS: Ninety-one patients with three computed tomography (CT) studies were evaluated following Celect IVCF placement (2007-2013). Three-dimensional finite element models of the Celect IVCF were developed to simulate mechanical deformation of the IVCF encountered in vivo...
October 2015: Journal of Vascular and Interventional Radiology: JVIR
Hyung-Kee Kim, Incheol Song, Ji-Hoon Jang, Chang-Wug Oh, Jong-Min Lee, Seung Huh
PURPOSE: To determine the efficacy of a retrievable inferior vena cava filter (IVCF) for patients with deep vein thrombosis (DVT) and transient contraindication for anticoagulant therapy, and to analyze the risk factors for filter thrombus in these patients. METHODS: We retrospectively reviewed the records of 70 patients who received a retrievable IVCF from January 2007 to June 2014 because of documented DVT and transient contraindication for anticoagulant therapy...
July 2015: Annals of Surgical Treatment and Research
Mofei Liu, James O Menzoian
We present a case report of simultaneous pulmonary emboli and paradoxical embolism to the cerebellum causing a stroke and severe ischemia to the left leg. This patient had risk factors for thromboembolic events that included autoimmune disease, cancer, and recent pelvic surgery. The presence of a perforate foramen ovale was suspected on his initial presentation and confirmed with echocardiography. For acute leg ischemia, this patient underwent emergent left common femoral embolectomy. The potential benefit of immediate anticoagulation had to be weighed against the risk of hemorrhagic transformation of his cerebellar stroke with possible compression of the fourth ventricle...
April 2016: Journal of Vascular Surgery
Shlomit Yust-Katz, Jacob J Mandel, Jimin Wu, Ying Yuan, Courtney Webre, Tushar A Pawar, Harshad S Lhadha, Mark R Gilbert, Terri S Armstrong
The risk of venous thromboembolism (VTE) is high for patients with brain tumors (11-20 %). Glioblastoma (GBM) patients, in particular, have the highest risk of VTE (24-30 %). The Khorana scale is the most commonly used clinical scale to evaluate the risk of VTE in cancer patients but its efficacy in patients with GBM remains unclear. The aim of this study is to estimate the frequency of VTE in GBM patients and identify potential risk factors for the development of VTE during adjuvant chemotherapy. Furthermore, we intend to examine whether the Khorana scale accurately predicts the risk of VTE in GBM patients...
August 2015: Journal of Neuro-oncology
Alicia Laborda, William T Kuo, Ignatios Ioakeim, Ignacio De Blas, Mauro Malvè, Celia Lahuerta, Miguel A De Gregorio
PURPOSE: The purpose of the study is to evaluate the influence of respiratory-induced vena caval hemodynamic changes on filter migration/penetration. MATERIALS AND METHODS: After placement of either a Gunther Tulip or Celect IVC filter, 101 consecutive patients scheduled for filter retrieval were prospectively enrolled in this study. Pre-retrieval CT scans were used to assess filter complications and to calculate cross-sectional area in three locations: at level of filter strut fixation, 3 cm above and 3 cm below...
October 2015: Cardiovascular and Interventional Radiology
Orly Lavan, Uri Rimon, Dani Simon, Boris Khaitovich, Batia Segal, Ehud Grossman, Yeroham Kleinbaum, David M Steinberg, Ophira Salomon
BACKGROUND: Venous thromboembolism (VTE) is a frequent complication of patients who experienced major trauma. Prevention of VTE is usually by thrombophylaxis and or by the use of a retrievable filter. Lately, the use of a retrievable filter in trauma patients has increased despite evidence cautioning against its use. AIMS: To evaluate complications related to a single type of filter prophylactically used in a tertiary trauma center and search for risk factors that may preclude filter retrieval METHODS: 142 patients aged 16 through 60 who experienced a major trauma and were treated with a prophylactic IVC filter of type optease were evaluated...
May 2015: Thrombosis Research
Laura N Godat, Leslie Kobayashi, David C Chang, Raul Coimbra
BACKGROUND: Trauma patients are known to be at increased risk for venous thromboembolism (VTE); this risk may change over time following injury. Determining the period in which patients are at increased risk of developing VTE may have an impact on prophylaxis, cost, and quality of care. METHODS: The California Office of Statewide Health Planning and Development hospital discharge database was searched between 1995 and 2010 for patients admitted with traumatic pelvic fractures, vertebral fractures, and spinal cord injuries...
March 2015: Journal of Trauma and Acute Care Surgery
Yuanhua Yang, Ning Wang, Zhenguo Zhai, Chen Wang
OBJECTIVE: To investigate the clinical characteristics of inpatients with pulmonary thromboembolism (PTE) and the status of its diagnosis and treatment in different hospitals in Beijing. METHOD: The clinical data of the inpatients with PTE from 18 hospitals with different medical levels in Beijing were retrospectively investigated from July 2011 to June 2012. The demographic characteristics, risk factors, clinical manifestations, diagnosis and treatment were recorded and analyzed...
December 2014: Chinese Journal of Tuberculosis and Respiratory Diseases
Simon P Rowland, Brahman Dharmarajah, Hayley M Moore, Tristan R A Lane, Jonathan Cousins, Ahmed R Ahmed, Alun H Davies
OBJECTIVE: The use of inferior vena cava (IVC) filters for prevention of venous thromboembolism (VTE) in bariatric surgery is a contentious issue. We aim to review the evidence for the use of IVC filters in bariatric surgical patients, describe trends in practice, and discuss challenges in developing evidence-based guidelines. BACKGROUND: The incidence of VTE in modern bariatric procedures with traditional methods of thromboprophylaxis, such as sequential calf compression devices and perioperative low molecular weight heparin, is approximately 2%...
January 2015: Annals of Surgery
Philip Cefalo, Ido Weinberg, Beau M Hawkins, Praveen Hariharan, Ikenna Okechukwu, Blair A Parry, Yuchiao Chang, Rachel Rosovsky, Shan W Liu, Michael R Jaff, Christopher Kabrhel
Recent studies have highlighted differences in how older patients respond to high-risk pulmonary embolism (PE) and treatment. However, guidelines for PE risk stratification and treatment are not based on age, and data are lacking for older patients. We characterized the impact of age on clinical features, risk stratification, treatment, and outcomes in a sample of patients with PE in the emergency department. We performed an observational cohort study of 547 consecutive patients with PE in the emergency department from 2005 to 2011 in an urban tertiary hospital...
March 1, 2015: American Journal of Cardiology
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