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KMID : 0904020080240010039
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Journal of Korean Society for Vascular Surgery
2008 Volume.24 No. 1 p.39 ~ p.44
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Temporary Inferior Vena Cava Filter Placement in Patients with Deep Vein Thrombosis
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Lim Ji-Yong
Kwun Woo-Hyung
Suh Bo-Yang
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Abstract
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Purpose: To evaluate the effectiveness and complications of temporary inferior vena cava filters in deep vein thrombosis.
Method: We retrospectively evaluated the clinical data of 35 patients who underwent percutaneous insertion of a temporary, retrievable IVC filter during treatment of deep vein thrombosis between 2003 and 2006. A Tulip? was used in 25 patients, and an OptEase? was used in 10 patients. Indications for filter insertion included thrombolytic therapy (n=29), long floating IVC thrombosis (n=4), and pulmonary thromboembolism history with recurrent venous-thromboembolism (n=2). Deep vein thrombosis was treated with an endovascular procedure in 33 patients and anticoagulation therapy in 2 patients.
Result: Complete symptom resolution was achieved in all patients. The temporary IVC filters were successfully retrieved in 28 of 35 patients (mean duration of filter placement: 9.57 days), but retrieval failed in 7 patients (thrombus in filter, 3 cases; remnant IVC thrombosis, 1 case; remnant iliac vein thrombosis/venous stenosis in high risk patient, 2 cases; in-hospital mortality due to underlying heart disease, 1 case). There were no cases of pulmonary embolism and no serious IVC filter-related complications during insertion, retraction, or remnant IVC filter follow-up.
Conclusion: Temporary, retrievable IVC filters were effective in the prevention of pulmonary embolism. Further investigations are necessary to determine long-term outcome data for filters left in place.
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KEYWORD
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Temporary IVC Filter, Deep Vein Thrombosis
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