Venous Thrombosis and Pulmonary Embolism

A Method for Following Patients with Retrievable Inferior Vena Cava Filters: Results and Lessons Learned from the First 1,100 Patients

Lynch FC (Penn State Univ College of Medicine, Hershey, PA) J Vasc Interv Radiol 22:1507–1512, 2011^§

Abstract

Purpose

Patients who have undergone implantation of a retrievable inferior vena cava (IVC) filter require continued follow-up to have the device removed when clinically appropriate and in a timely fashion to avoid potential long-term filter-related complications. The efficacy of a method for patient follow-up was evaluated based on a retrospective review of a single-institutional retrievable IVC filter experience.

Materials and Methods

Patients with retrievable IVC filters were tracked via a prospectively collected database designed specifically for patient follow-up. Follow-up consisted of periodic review of the electronic medical record. Patients were contacted by mail (at regular intervals one or more times) when removal of the filter was deemed appropriate. A retrospective review of the ultimate fate of the first 1,127 retrievable IVC filters placed at a single institution was performed. Retrieval rates were compared with those seen in the initial experience, during which no structured follow-up was performed.

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