A change in strategy for filter choice leads to improved filter retrieval rates.
Heart Vessels
; 39(7): 640-645, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38310515
ABSTRACT
OBJECTIVE:
To assess whether a new strategy for the choice of inferior vena cava filter placed would improve filter retrieval rates at our institution.METHODS:
Consecutive patients who underwent retrievable filter placement for temporary embolic protection between January 2021 and January 2023 were considered for study inclusion. Risk factors for nonretrieval of short-term filters were identified in patients receiving filters between January 2021 and January 2022 (prestrategy group). For patients treated between February 2022 and January 2023 (poststrategy group), a long-term filter was recommended for those with these risk factors, and a short-term filter was recommended for those without these risk factors.RESULTS:
The study population included 303 patients (prestrategy group, n = 154; poststrategy group, n = 149). Long-term immobilization (odds ratio [OR] = 38.000; 95% confidence interval [CI] 6.858-210.564), active cancer (OR = 17.643; 95% CI 5.462-56.993), and venous thromboembolism detected in the intensive care unit (OR = 28.500; 95% CI 7.419-109.477) were identified as independent risk factors for nonretrieval of short-term filters. The total retrieval rate was significantly higher in the poststrategy group (87.2%) than in the prestrategy group (72.7%; P = 0.002); the short-term filter retrieval rate was also significantly higher in the poststrategy group (84.5%) than in the prestrategy group (68.5%; P < 0.001).CONCLUSION:
The proposed strategy for filter choice based on risk factors for short-term filter nonretrieval can accurately identify patients who need long-term filter placement while also increasing the retrieval rates for both short-term filters retrieval rates and overall retrieval rates.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Filtros de Veia Cava
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Remoção de Dispositivo
Tipo de estudo:
Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article