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inferior vena cava (IVC) filter: indications


indications:
  • contraindication to anticoagulation
  • failure of anticoagulation
  • complication of anticoagulation: hemorrhage or thrombocytopenia
  • large free-floating IVC/iliac vein thrombus

expanded indications:

  • cor pulmonale and DVT/PE
  • patients with high risk of complications to anticoagulation
    • metastatic disease
    • syncope in elderly
  • prophylactic placement in high-risk trauma patients
    • spinal cord injury
    • severe head injury
    • complex pelvic fractures
    • multiple long bone fractures
  • prophylactic placement before hip/knee replacement in patients with prior DVT

prophylactic filters remain controversial

see also: types of IVC filters


Stephen P. Johnson, MD  -  10 January 1996
Last updated:  1 October 2013


 

Related CHORUS documents:
inferior vena cava (IVC) filters
titanium Greenfield IVC filter
cafe-au-lait spots
Vena-Tech IVC filter
bird's nest IVC filter
ischemic colitis

 

Copyright © 2013, Charles E. Kahn, Jr.