• Annals of Saudi medicine · Nov 2009

    Inferior vena caval filters: 5 years of experience in a tertiary care center.

    • Jalal Saour, Abdulaziz Al Harthi, Mona El Sherif, Ebtisam Bakhsh, and Layla Mammo.
    • Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. jalal.saour1945@gmail.com
    • Ann Saudi Med. 2009 Nov 1; 29 (6): 446449446-9.

    Background And ObjectivesInterruption of the Inferior Vena Cava (IVC) is recommended in certain cases to prevent Pulmonary Embolism (PE). Reported data on the efficacy and rate of complications vary considerably.Patients And MethodsWe conducted a retrospective analysis of patients who had a temporary or permanent IVC filter inserted at our institution during the past 5 years.ResultsSeventy-seven of 225 patients (34%) with Venous Thrombosis (VT) had an IVC filter inserted. Deep vein thrombosis and PE were the most common causes for anticoagulation. Bleeding was the reason for IVC filter insertion in 48 (62%). The only complication found was the breaking of a temporary filter during removal related to the procedure. However, 3 patients (out of 10) had a recurrence of VT after prolonged discontinuation of anticoagulation.ConclusionsOur criteria for indication of IVC filter insertion are in line with current standard of care. The immediate and delayed complications caused by IVC filter insertion was low. Active bleeding was the most common indication for filter insertion, whereas inherited thrombophilia was relatively common.

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