Download PDF
Semin intervent Radiol 2008; 25(1): 020-026
DOI: 10.1055/s-2008-1052302
© Thieme Medical Publishers

Venous Thromboembolic Disease: The Use of “Optional” Inferior Vena Cava Filters

Anthony C. Venbrux1 , Elizabeth A. Ignacio1 , Shawn N. Sarin1 , Amy P. Soltes1 , Noel C. Haskins1 , Dmitri Gagarin1
  • 1Cardiovascular and Interventional Radiology, The George Washington University Medical Center, Washington, District of Columbia
Further Information

Publication History

Publication Date:
19 March 2008 (online)

Also available at
    Permissions and Reprints

ABSTRACT

Approximately 140,000 to 200,000 patients die as a result of pulmonary embolism in the United States each year. If the diagnosis is made and therapy initiated, the mortality rate drops to 8%. Vena cava filters play a role in the management of patients with thromboembolic disease. Deployment of “optional” filters is changing practice paradigms.

KEYWORDS

Pulmonary embolism - venous thromboembolic disease - inferior vena cava filters

REFERENCES

  • 1 Dalen J E, Alpert J S. Natural history of pulmonary embolism.  Prog Cardiovasc Dis. 1975;  17 259-270
    CrossrefPubMedGoogle Scholar
  • 2 Mobin-Uddin K, Utley J R, Bryant L R. The inferior vena cava umbrella filter.  Prog Cardiovasc Dis. 1975;  17 391-399
    PubMedGoogle Scholar
  • 3 Venbrux A C. The “Optional” (Permanent or Retrievable) IVC Filter: The Future of Caval Interruption, 30th Vascular and Endovascular Issues, Techniques, Horizons (Veith Symposium). New York, NY; November 20-23, 2003
    Google Scholar
  • 4 Matsumoto A H. Acute pulmonary embolism: diagnostic and therapeutic considerations. 1992 RSNA refresher course handout for course 214B.  Radiology. 1992;  185 49
    PubMedGoogle Scholar
  • 5 The PIOPED Investigators . Value of ventilation/perfusion scan in acute pulmonary embolism diagnosis (PIOPED).  JAMA. 1990;  263 2753-2759
    Google Scholar
  • 6 Teigen C L, Maus T P, Sheedy II P F. Pulmonary embolism: diagnosis with contrast-enhanced electron-beam CT and comparison with pulmonary angiography.  Radiology. 1995;  194 313-319
    PubMedGoogle Scholar
  • 7 Remy-Jardin M, Remy J, Wattinne L, Giraud F. Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with a single-breath-hold technique: comparison with pulmonary angiography.  Radiology. 1992;  185 381-387
    PubMedGoogle Scholar
  • 8 Posteraro R H, Sostman H D, Spritzer C E, Herfkens R J. Cine-gradient-refocused MR imaging of central pulmonary emboli.  AJR Am J Roentgenol. 1989;  152 465-468
    PubMedGoogle Scholar
  • 9 White R D, Winkler M L, Higgins C B. MR imaging of pulmonary arterial hypertension and pulmonary emboli.  AJR Am J Roentgenol. 1987;  149 15-21
    PubMedGoogle Scholar
  • 10 Dorfman G S. Percutaneous inferior vena caval filters.  Radiology. 1990;  174 987-992
    PubMedGoogle Scholar
  • 11 Urokinase pulmonary embolism trial: phase 1 results.  JAMA. 1970;  214 2163-2172
    CrossrefPubMedGoogle Scholar
  • 12 Urokinase-streptokinase embolism trial: phase 2 results.  JAMA. 1974;  229 1606-1613
    CrossrefPubMedGoogle Scholar
  • 13 Anderson D R, Levine M N. Thrombolytic therapy for treatment of acute pulmonary embolism.  CMAJ. 1992;  146 1317-1324
    PubMedGoogle Scholar
  • 14 Greenfield L J, Langham M R. Surgical approaches to thromboembolism.  Br J Surg. 1984;  71 968-970
    CrossrefPubMedGoogle Scholar
  • 15 Timsit J F, Reynaud P, Meyer G, Sors H. Pulmonary embolectomy by catheter device in massive pulmonary embolism.  Chest. 1991;  100 655-658
    PubMedGoogle Scholar
  • 16 Mewissen M W, Seabrook G R, Meissner M H, Cynamon J, Labropoulos N, Haughton S H. Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a National Multicenter Registry.  Radiology. 1999;  211 39-49
    CrossrefPubMedGoogle Scholar
  • 17 Kuszyk B S, Venbrux A C, Samphilipo M A et al.. Subcutaneously tethered temporary filter: pathologic effects in swine.  J Vasc Interv Radiol. 1995;  6 895-902
    PubMedGoogle Scholar
  • 18 Brountzos E N, Kaufman J A, Venbrux A C et al.. A new optional vena cava filter: retrieval at 12 weeks in an animal model.  J Vasc Interv Radiol. 2003;  14 763-772
    PubMedGoogle Scholar
  • 19 Asch M R. Initial experience in humans with a new retrievable inferior vena cava filter.  Radiology. 2002;  225 835-844
    CrossrefPubMedGoogle Scholar
  • 20 Savader S J. Inferior vena cava filters. In: Savader SJ, Trerotola SO Venous Interventional Radiology with Clinical Perspectives. New York; Thieme Medical Publishers 1996: 367-399
    Google Scholar
  • 21 Girard M S, Kaufman J A, Lau T N, Morrid C S, Oliva V, Parr C. Inferior Vena Cava Filtration. SIR Meeting Workshop Book March 27 to April 1, 2003: 349-353
    Google Scholar
  • 22 Sarani B, Chun A, Venbrux A. Role of optional (retrievable) IVC filters in surgical patients at risk for venous thromboembolic disease.  J Am Coll Surg. 2005;  201 957-964
    CrossrefPubMedGoogle Scholar

Anthony C VenbruxM.D. 

Professor of Radiology and Surgery, Director, Cardiovascular and Interventional Radiology, The George Washington University Medical Center

900 23rd Street, Ground Floor, Room 2092, Washington, DC 20037

Email: avenbrux@mfa.gwu.edu

      >