Should We Remove the Retrievable Cook Celect Inferior Vena Cava Filter? Eight Years of Experience at a Single Center.
10.5090/kjtcs.2017.50.6.443
- Author:
Joohyung SON
1
;
Miju BAE
;
Sung Woon CHUNG
;
Chung Won LEE
;
Up HUH
;
Seunghwan SONG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Korea. nabikr@naver.com
- Publication Type:Original Article
- Keywords:
Vena cava filter;
Pulmonary embolism;
Venous thrombosis
- MeSH:
Follow-Up Studies;
Humans;
Pulmonary Embolism;
Retrospective Studies;
Thrombectomy;
Thromboembolism;
Vena Cava Filters*;
Vena Cava, Inferior*;
Venous Thrombosis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(6):443-447
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The inferior vena cava filter (IVCF) is very effective for preventing pulmonary embolism in patients who cannot undergo anticoagulation therapy. However, if a filter is placed in the body permanently, it may lead to other complications. METHODS: A retrospective study was performed of 159 patients who underwent retrievable Cook Celect IVCF implantation between January 2007 and April 2015 at a single center. Baseline characteristics, indications, and complications caused by the filter were investigated. RESULTS: The most common underlying disease of patients receiving the filter was cancer (24.3%). Venous thrombolysis or thrombectomy was the most common indication for IVCF insertion in this study (47.2%). The most common complication was inferior vena cava penetration, the risk of which increased the longer the filter remained in the body (p=0.032, Exp(B)=1.004). CONCLUSION: If the patient is able to retry anticoagulation therapy and the filter is no longer needed, the filter should be removed, even if a long time has elapsed since implantation. If the filter cannot be removed, it is recommended that follow-up computed tomography be performed regularly to monitor the progress of venous thromboembolisms as well as any filter-related complications.
