Cargando…

Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions

INTRODUCTION: Placement of removable inferior vena cava filters (rIVCFs) has increased, but this has not been accompanied by timely removal, with retrieval rates as low as 8.5% at some institutions. Failure to remove rIVCFs that were not medically necessary resulted in increased complications. This...

Descripción completa

Detalles Bibliográficos
Autores principales: Nygard, Adam S., Hanna, Nick M., Fiore, Gerre A., Rohr, Aaron M., Alli, Adam S., Collins, Zach S., Irani, Neville R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of Kansas Medical Center 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710506/
https://www.ncbi.nlm.nih.gov/pubmed/36467449
http://dx.doi.org/10.17161/kjm.vol15.18449
_version_ 1784841381267636224
author Nygard, Adam S.
Hanna, Nick M.
Fiore, Gerre A.
Rohr, Aaron M.
Alli, Adam S.
Collins, Zach S.
Irani, Neville R.
author_facet Nygard, Adam S.
Hanna, Nick M.
Fiore, Gerre A.
Rohr, Aaron M.
Alli, Adam S.
Collins, Zach S.
Irani, Neville R.
author_sort Nygard, Adam S.
collection PubMed
description INTRODUCTION: Placement of removable inferior vena cava filters (rIVCFs) has increased, but this has not been accompanied by timely removal, with retrieval rates as low as 8.5% at some institutions. Failure to remove rIVCFs that were not medically necessary resulted in increased complications. This study discussed the development of an inferior vena cava (IVC) filter follow-up protocol. METHODS: A method to monitor IVC filter placement and retrieval was developed. A weekly report was generated detailing placement and removal of rIVCFs. A standardized retrieval calculator was utilized to determine efficacy of removal. An IVC filter Retrieval Assessment Form was developed. Managing physicians and patients with medically unnecessary filters were sent letters with a retrieval checklist and order form. If not removed within one year, additional letters were sent. Standardized IVC filter reporting templates were created and utilized after insertion of all filters with retrieval status. Letters eventually were built into the electronic medical record for direct routing. RESULTS: From 2015 to 2020, IVC filters were placed in 719 patients. Of those, 58% were eligible for retrieval. Initial rates of rIVCF removal in eligible patients were as low as 30–33% in 2015. The retrieval rate of eligible filters rose to 44% in September 2018. The rate of retrieval rose to 61% in January 2021. CONCLUSIONS: Employing a systemic protocol to aid in follow-up of patients following rIVCF placement may improve rates of retrieval. Regular evaluation and revision of the process demonstrated a significant role in achieving an increase in retrieval rates.
format Online
Article
Text
id pubmed-9710506
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher University of Kansas Medical Center
record_format MEDLINE/PubMed
spelling pubmed-97105062022-12-01 Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions Nygard, Adam S. Hanna, Nick M. Fiore, Gerre A. Rohr, Aaron M. Alli, Adam S. Collins, Zach S. Irani, Neville R. Kans J Med Original Research INTRODUCTION: Placement of removable inferior vena cava filters (rIVCFs) has increased, but this has not been accompanied by timely removal, with retrieval rates as low as 8.5% at some institutions. Failure to remove rIVCFs that were not medically necessary resulted in increased complications. This study discussed the development of an inferior vena cava (IVC) filter follow-up protocol. METHODS: A method to monitor IVC filter placement and retrieval was developed. A weekly report was generated detailing placement and removal of rIVCFs. A standardized retrieval calculator was utilized to determine efficacy of removal. An IVC filter Retrieval Assessment Form was developed. Managing physicians and patients with medically unnecessary filters were sent letters with a retrieval checklist and order form. If not removed within one year, additional letters were sent. Standardized IVC filter reporting templates were created and utilized after insertion of all filters with retrieval status. Letters eventually were built into the electronic medical record for direct routing. RESULTS: From 2015 to 2020, IVC filters were placed in 719 patients. Of those, 58% were eligible for retrieval. Initial rates of rIVCF removal in eligible patients were as low as 30–33% in 2015. The retrieval rate of eligible filters rose to 44% in September 2018. The rate of retrieval rose to 61% in January 2021. CONCLUSIONS: Employing a systemic protocol to aid in follow-up of patients following rIVCF placement may improve rates of retrieval. Regular evaluation and revision of the process demonstrated a significant role in achieving an increase in retrieval rates. University of Kansas Medical Center 2022-11-28 /pmc/articles/PMC9710506/ /pubmed/36467449 http://dx.doi.org/10.17161/kjm.vol15.18449 Text en © 2022 The University of Kansas Medical Center https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Original Research
Nygard, Adam S.
Hanna, Nick M.
Fiore, Gerre A.
Rohr, Aaron M.
Alli, Adam S.
Collins, Zach S.
Irani, Neville R.
Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions
title Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions
title_full Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions
title_fullStr Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions
title_full_unstemmed Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions
title_short Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions
title_sort blueprint for implementing and improving eligible inferior vena cava filter retrieval across institutions
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710506/
https://www.ncbi.nlm.nih.gov/pubmed/36467449
http://dx.doi.org/10.17161/kjm.vol15.18449
work_keys_str_mv AT nygardadams blueprintforimplementingandimprovingeligibleinferiorvenacavafilterretrievalacrossinstitutions
AT hannanickm blueprintforimplementingandimprovingeligibleinferiorvenacavafilterretrievalacrossinstitutions
AT fioregerrea blueprintforimplementingandimprovingeligibleinferiorvenacavafilterretrievalacrossinstitutions
AT rohraaronm blueprintforimplementingandimprovingeligibleinferiorvenacavafilterretrievalacrossinstitutions
AT alliadams blueprintforimplementingandimprovingeligibleinferiorvenacavafilterretrievalacrossinstitutions
AT collinszachs blueprintforimplementingandimprovingeligibleinferiorvenacavafilterretrievalacrossinstitutions
AT iranineviller blueprintforimplementingandimprovingeligibleinferiorvenacavafilterretrievalacrossinstitutions