Current Status of the Retrieval Rate of Retrievable Vena Cava Filters in a Tertiary Referral Center in Korea.
10.5758/vsi.2014.30.4.133
- Author:
Hyeongmin PARK
;
Ahram HAN
;
Chanjoong CHOI
;
Sang Il MIN
;
Jongwon HA
;
In Mok JUNG
;
Taeseung LEE
;
Hyo Cheol KIM
;
Hwan Joon JAE
;
Seung Kee MIN
- Publication Type:Original Article
- Keywords:
Vena cava filters;
Venous thrombosis;
Pulmonary embolism;
Venous thromboembolism
- MeSH:
Education;
Electronic Health Records;
Follow-Up Studies;
Humans;
Internal Medicine;
Korea;
Male;
Malpractice;
Pulmonary Embolism;
Retrospective Studies;
Seoul;
Specialization;
Tertiary Care Centers*;
Vena Cava Filters*;
Venous Thromboembolism;
Venous Thrombosis
- From:Vascular Specialist International
2014;30(4):133-138
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study was to review the daily practice of inferior vena cava filters (IVCFs) in a tertiary referral center in Korea and to reveal the retrieval rate and the methods for improving it. MATERIALS AND METHODS: Through the electronic medical record system, a retrospective review was performed on 115 consecutive patients who underwent placement of retrievable IVCFs between February 2000 and January 2011 in Seoul National University Hospital. RESULTS: IVCF placement was done in 115 cases (113 patients). There were 68 men (59.1%), and the mean age was 58.5+/-15.5 years (range, 10-96 years). The affiliated departments were Vascular Surgery (57 cases, 49.6%), and Internal Medicine (20 cases, 17.4%). Advanced malignancy was the most commonly associated disease (n=30, 26%). The indications for IVCF placement were categorized; absolute indications in 36 cases (31.3%), relative indications in 78 cases (67.8%), and prophylactic use in 1 case (0.9%). The most common indications were thrombolysis/thrombectomy for iliocaval deep vein thrombosis (DVT) (n=55, 47.8). Of the 115 filters, 68 were retrieved (retrieval rate, 59%). The most common cause of non-retrieval was chronic high risk of venous thromboembolism in 24 patients (51%), followed by residual proximal DVT (n=7, 15%), and negligence by unknown reasons (n=6, 13%). CONCLUSION: To improve the retrieval rate, the number of follow-up losses to vascular specialists must be decreased, which can be achieved by establishment of a dedicated IVC filter clinic, implementation of a filter registry, and regular education for medical teams and patients along with their families.
