Retrievable Inferior Vena Cava Filters in Patients with Cancer: Complications and Retrieval Success Rate
Active cancer (ACa) is strongly associated with venous thromboembolism and bleeding. Retrievable inferior vena cava filters (RIVCF) are frequently placed in these patients when anticoagulation cannot be continued. Objectives. To describe the complications and retrieval rate of inferior vena cava fil...
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| Published in | International Journal of Vascular Medicine Vol. 2016; no. 2016; pp. 128 - 135 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Cairo, Egypt
Hindawi Limiteds
01.01.2016
Hindawi Publishing Corporation John Wiley & Sons, Inc Hindawi Limited |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Active cancer (ACa) is strongly associated with venous thromboembolism and bleeding. Retrievable inferior vena cava filters (RIVCF) are frequently placed in these patients when anticoagulation cannot be continued. Objectives. To describe the complications and retrieval rate of inferior vena cava filters in patients with ACa. Methods. Retrospective review of 251 consecutive patients with RIVCF in a single institution. Results. We included 251 patients with RIVCF with a mean age of 58.1 years and a median follow-up of 5.4 months (164 days, IQR: 34–385). Of these patients 32% had ACa. There were no differences in recurrence rate of DVT between patients with ACa and those without ACa (13% versus 17%, p = ns). Also, there were no differences in major filter complications (11% ACa versus 7% no ACa, p = ns). The filter retrieval was not different between groups (log-rank = 0.16). Retrieval rate at 6 months was 49% in ACa patients versus 64% in patients without ACa ( p = ns). Filter retrieval was less frequent in ACa patients with metastatic disease ( p < 0.01) or a nonsurgical indication for filter placement ( p = 0.04). Conclusions. No differences were noted in retrieval rate, recurrent DVT, or filter complications between the two groups. ACa should not preclude the use of RIVCF. |
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| AbstractList | Active cancer (ACa) is strongly associated with venous thromboembolism and bleeding. Retrievable inferior vena cava filters (RIVCF) are frequently placed in these patients when anticoagulation cannot be continued. Objectives. To describe the complications and retrieval rate of inferior vena cava filters in patients with ACa. Methods. Retrospective review of 251 consecutive patients with RIVCF in a single institution. Results. We included 251 patients with RIVCF with a mean age of 58.1 years and a median follow-up of 5.4 months (164 days, IQR: 34-385). Of these patients 32% had ACa. There were no differences in recurrence rate of DVT between patients with ACa and those without ACa (13% versus 17%, p = ns). Also, there were no differences in major filter complications (11% ACa versus 7% no ACa, p = ns). The filter retrieval was not different between groups (log-rank = 0.16). Retrieval rate at 6 months was 49% in ACa patients versus 64% in patients without ACa (p = ns). Filter retrieval was less frequent in ACa patients with metastatic disease (p < 0.01) or a nonsurgical indication for filter placement (p = 0.04). Conclusions. No differences were noted in retrieval rate, recurrent DVT, or filter complications between the two groups. ACa should not preclude the use of RIVCF. Active cancer (ACa) is strongly associated with venous thromboembolism and bleeding. Retrievable inferior vena cava filters (RIVCF) are frequently placed in these patients when anticoagulation cannot be continued. Objectives . To describe the complications and retrieval rate of inferior vena cava filters in patients with ACa. Methods . Retrospective review of 251 consecutive patients with RIVCF in a single institution. Results . We included 251 patients with RIVCF with a mean age of 58.1 years and a median follow-up of 5.4 months (164 days, IQR: 34–385). Of these patients 32% had ACa. There were no differences in recurrence rate of DVT between patients with ACa and those without ACa (13% versus 17%, p = ns). Also, there were no differences in major filter complications (11% ACa versus 7% no ACa, p = ns). The filter retrieval was not different between groups (log-rank = 0.16). Retrieval rate at 6 months was 49% in ACa patients versus 64% in patients without ACa ( p = ns). Filter retrieval was less frequent in ACa patients with metastatic disease ( p < 0.01) or a nonsurgical indication for filter placement ( p = 0.04). Conclusions . No differences were noted in retrieval rate, recurrent DVT, or filter complications between the two groups. ACa should not preclude the use of RIVCF. |
| Audience | Academic |
| Author | Landrum, Lisa M. Casanegra, Ana I. Tafur, Alfonso J. |
| AuthorAffiliation | 3 Department of Medicine, Vascular Surgery and Medicine Section, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, IL 60201, USA 1 Department of Internal Medicine, Cardiovascular Section, Vascular Medicine Program, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Boulevard, WP 3010, Oklahoma City, OK 73104, USA 2 Department of Obstetrics and Gynecology, Section of Gynecology Oncology, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 800 NE 10th Street, Oklahoma City, OK 73104, USA |
| AuthorAffiliation_xml | – name: 2 Department of Obstetrics and Gynecology, Section of Gynecology Oncology, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 800 NE 10th Street, Oklahoma City, OK 73104, USA – name: 3 Department of Medicine, Vascular Surgery and Medicine Section, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, IL 60201, USA – name: 1 Department of Internal Medicine, Cardiovascular Section, Vascular Medicine Program, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Boulevard, WP 3010, Oklahoma City, OK 73104, USA |
| Author_xml | – sequence: 1 fullname: Casanegra, Ana I. – sequence: 2 fullname: Tafur, Alfonso J. – sequence: 3 fullname: Landrum, Lisa M. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26904290$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | Copyright © 2016 Ana I. Casanegra et al. COPYRIGHT 2016 John Wiley & Sons, Inc. Copyright © 2016 Ana I. Casanegra et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2016 Ana I. Casanegra et al. 2016 |
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| Snippet | Active cancer (ACa) is strongly associated with venous thromboembolism and bleeding. Retrievable inferior vena cava filters (RIVCF) are frequently placed in... |
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| SubjectTerms | Anticoagulants (Medicine) Cancer Cancer patients Care and treatment Complications and side effects Dosage and administration Embolization Health aspects Medical examination Metastasis Physiological aspects Stent (Surgery) Thromboembolism Thrombosis Vena cava |
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| Title | Retrievable Inferior Vena Cava Filters in Patients with Cancer: Complications and Retrieval Success Rate |
| URI | https://www.airitilibrary.com/Article/Detail/P20151202005-201612-201708170026-201708170026-128-135 https://search.emarefa.net/detail/BIM-1107118 https://dx.doi.org/10.1155/2016/6413541 https://www.ncbi.nlm.nih.gov/pubmed/26904290 https://www.proquest.com/docview/2407640550 https://search.proquest.com/docview/1767915280 https://pubmed.ncbi.nlm.nih.gov/PMC4745292 https://doaj.org/article/d0a3959106884fe9bd6dec7ff0c7e05a |
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