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IVC filters - Indications for placement and retrieval trends– experience from a tertiary referral centre in India type of submission- full paper

OBJECTIVES: There is wide variation in the practice of IVC filter placement and retrievals. We conducted a retrospective study to identify the trends in placement and retrievals of IVC filters in a tertiary referral centre in India. METHODS: The data of patients obtained from our hospital records, i...

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Autores principales: Ganga, Kartik P., Vadher, Akash, Ojha, Vineeta, Goyal, Aayush, Kumar, Sanjeev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8322748/
https://www.ncbi.nlm.nih.gov/pubmed/34154751
http://dx.doi.org/10.1016/j.ihj.2021.01.014
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author Ganga, Kartik P.
Vadher, Akash
Ojha, Vineeta
Goyal, Aayush
Kumar, Sanjeev
author_facet Ganga, Kartik P.
Vadher, Akash
Ojha, Vineeta
Goyal, Aayush
Kumar, Sanjeev
author_sort Ganga, Kartik P.
collection PubMed
description OBJECTIVES: There is wide variation in the practice of IVC filter placement and retrievals. We conducted a retrospective study to identify the trends in placement and retrievals of IVC filters in a tertiary referral centre in India. METHODS: The data of patients obtained from our hospital records, in whom IVC filter was placed between 2010 and 2018, were analysed for demographics, indications for placement of IVC filter, underlying comorbidities, characteristics of the filters as well as the retrieval rates. RESULTS: IVC filters were placed in 50 patients, and data was retrieved for 31 patients (mean - 51.24 years, 67.74% males). According to ACCP/AHA guidelines, 24 (77.42%) had an absolute indication for IVC filter. All 31 IVC filters were temporary, 23 (74.19%) of which were placed via femoral access. 29(93.55%) patients had infrarenal IVC filter placement. The average tilt at deployment was 3.71°, whereas it was 5.3° at retrieval. There were no periprocedural complications or filter migrations during placement or retrieval. Retrieval was attempted in 11 (35.48%) patients and was successful in 10. The mean indwelling time in this group was 158.55 days (range 55–366 days). CONCLUSION: Our study reveals low IVC filter implantation rates which are predominantly for absolute rather than relative indications. Though in sync with the worldwide trend, the poor retrieval rates reflect the urgent need for better patient and physician awareness. Periodic follow up is imperative to improve the IVC filter retrieval rate and to prevent complication rates.
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spelling pubmed-83227482021-07-31 IVC filters - Indications for placement and retrieval trends– experience from a tertiary referral centre in India type of submission- full paper Ganga, Kartik P. Vadher, Akash Ojha, Vineeta Goyal, Aayush Kumar, Sanjeev Indian Heart J Original Article OBJECTIVES: There is wide variation in the practice of IVC filter placement and retrievals. We conducted a retrospective study to identify the trends in placement and retrievals of IVC filters in a tertiary referral centre in India. METHODS: The data of patients obtained from our hospital records, in whom IVC filter was placed between 2010 and 2018, were analysed for demographics, indications for placement of IVC filter, underlying comorbidities, characteristics of the filters as well as the retrieval rates. RESULTS: IVC filters were placed in 50 patients, and data was retrieved for 31 patients (mean - 51.24 years, 67.74% males). According to ACCP/AHA guidelines, 24 (77.42%) had an absolute indication for IVC filter. All 31 IVC filters were temporary, 23 (74.19%) of which were placed via femoral access. 29(93.55%) patients had infrarenal IVC filter placement. The average tilt at deployment was 3.71°, whereas it was 5.3° at retrieval. There were no periprocedural complications or filter migrations during placement or retrieval. Retrieval was attempted in 11 (35.48%) patients and was successful in 10. The mean indwelling time in this group was 158.55 days (range 55–366 days). CONCLUSION: Our study reveals low IVC filter implantation rates which are predominantly for absolute rather than relative indications. Though in sync with the worldwide trend, the poor retrieval rates reflect the urgent need for better patient and physician awareness. Periodic follow up is imperative to improve the IVC filter retrieval rate and to prevent complication rates. Elsevier 2021 2021-01-20 /pmc/articles/PMC8322748/ /pubmed/34154751 http://dx.doi.org/10.1016/j.ihj.2021.01.014 Text en © 2021 Cardiological Society of India. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Ganga, Kartik P.
Vadher, Akash
Ojha, Vineeta
Goyal, Aayush
Kumar, Sanjeev
IVC filters - Indications for placement and retrieval trends– experience from a tertiary referral centre in India type of submission- full paper
title IVC filters - Indications for placement and retrieval trends– experience from a tertiary referral centre in India type of submission- full paper
title_full IVC filters - Indications for placement and retrieval trends– experience from a tertiary referral centre in India type of submission- full paper
title_fullStr IVC filters - Indications for placement and retrieval trends– experience from a tertiary referral centre in India type of submission- full paper
title_full_unstemmed IVC filters - Indications for placement and retrieval trends– experience from a tertiary referral centre in India type of submission- full paper
title_short IVC filters - Indications for placement and retrieval trends– experience from a tertiary referral centre in India type of submission- full paper
title_sort ivc filters - indications for placement and retrieval trends– experience from a tertiary referral centre in india type of submission- full paper
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8322748/
https://www.ncbi.nlm.nih.gov/pubmed/34154751
http://dx.doi.org/10.1016/j.ihj.2021.01.014
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