The role of vena cava filters in preventing pulmonary embolism

Peter Fischer, Ronald F. Sing

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The use of vena cava filters (VCFs) to prevent pulmonary embolism (PE) continues to be controversial, as evidenced by current guidelines, which differ significantly in their indications. Although a recently published, major guideline does not recommend VCF insertion except in the presence of an acute deep-vein thrombosis (DVT) or PE with a contraindication to anticoagulation, "prophylactic" filters, i.e., filters inserted without a known DVT or PE, are routinely placed in certain patient populations. Trauma continues to be the leading indication for prophylactic filters in a number of series, but further studies have demonstrated some benefit of prophylactic filters in the bariatric and spine-surgery populations. The technological advances of removable filters make them more appealing for prophylactic application and have likely contributed to their increasing use. Retrieval rates have traditionally been very poor but have significantly improved with dedicated patient-tracking mechanisms. The purpose of this chapter is to review the indications for VCF insertion, the role of prophylactic filters, the technical aspects of placement and retrieval, and the complications associated with VCF use.

Original languageEnglish (US)
Title of host publicationDeep-Vein Thrombosis
Subtitle of host publicationRisk Factors, Treatment and Clinical Outcomes
PublisherNova Science Publishers, Inc.
Pages33-51
Number of pages19
ISBN (Electronic)9781631174704
ISBN (Print)9781631174698
StatePublished - Apr 1 2014

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indication
surgery
trauma

All Science Journal Classification (ASJC) codes

  • Social Sciences(all)

Cite this

Fischer, P., & Sing, R. F. (2014). The role of vena cava filters in preventing pulmonary embolism. In Deep-Vein Thrombosis: Risk Factors, Treatment and Clinical Outcomes (pp. 33-51). Nova Science Publishers, Inc..

The role of vena cava filters in preventing pulmonary embolism. / Fischer, Peter; Sing, Ronald F.

Deep-Vein Thrombosis: Risk Factors, Treatment and Clinical Outcomes. Nova Science Publishers, Inc., 2014. p. 33-51.

Research output: Chapter in Book/Report/Conference proceedingChapter

Fischer, P & Sing, RF 2014, The role of vena cava filters in preventing pulmonary embolism. in Deep-Vein Thrombosis: Risk Factors, Treatment and Clinical Outcomes. Nova Science Publishers, Inc., pp. 33-51.
Fischer P, Sing RF. The role of vena cava filters in preventing pulmonary embolism. In Deep-Vein Thrombosis: Risk Factors, Treatment and Clinical Outcomes. Nova Science Publishers, Inc. 2014. p. 33-51
Fischer, Peter ; Sing, Ronald F. / The role of vena cava filters in preventing pulmonary embolism. Deep-Vein Thrombosis: Risk Factors, Treatment and Clinical Outcomes. Nova Science Publishers, Inc., 2014. pp. 33-51
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