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10.2214/AJR.20.24817

http://scihub22266oqcxt.onion/10.2214/AJR.20.24817
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33206563!ä!33206563

suck abstract from ncbi


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pmid33206563      AJR+Am+J+Roentgenol 2021 ; 216 (3): 563-569
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  • Current Controversies in Inferior Vena Cava Filter Placement: AJR Expert Panel Narrative Review #MMPMID33206563
  • Kesselman A; Oo TH; Johnson M; Stecker MS; Kaufman J; Trost D
  • AJR Am J Roentgenol 2021[Mar]; 216 (3): 563-569 PMID33206563show ga
  • Despite inferior vena cava (IVC) filter practice spanning over 50 years, interventionalists face many controversies in proper utilization and management. This article reviews recent literature and offers opinions on filter practices. IVC filtration is most likely to benefit patients at high risk of iatrogenic pulmonary embolus during endovenous intervention. Filters should be used selectively in patients with acute trauma or who are undergoing bariatric surgery. Retrieval should be attempted for perforating filter and fractured filter fragments when imaging suggests feasibility and favorable risk-to-benefit ratio. Antibiotic prophylaxis should be considered when removing filters with confirmed gastrointestinal penetration. Anticoagulation solely because of filter presence is not recommended except in patients with active malignancy. Anticoagulation while filters remain in place may decrease long-term filter complications in these patients. Patients with a filter and symptomatic IVC occlusion should be offered filter removal and IVC reconstruction. Physicians implanting filters may maximize retrieval by maintaining physician-patient relationships and scheduling follow-up at time of placement. Annual follow-up allows continued evaluation for removal or replacement as appropriate. Advanced retrieval techniques increase retrieval rates but require caution. Certain cases may require referral to experienced centers with additional retrieval resources. The views expressed should help guide clinical practice, future innovation, and research.
  • |*Vena Cava Filters/adverse effects[MESH]
  • |*Vena Cava, Inferior[MESH]
  • |Antibiotic Prophylaxis[MESH]
  • |Anticoagulants/administration & dosage[MESH]
  • |Bariatric Surgery[MESH]
  • |COVID-19/complications[MESH]
  • |Device Removal/instrumentation/*methods[MESH]
  • |Endovascular Procedures[MESH]
  • |Humans[MESH]
  • |Neoplasms/complications[MESH]
  • |Physician-Patient Relations[MESH]
  • |Practice Guidelines as Topic[MESH]
  • |Prosthesis Design[MESH]
  • |Prosthesis Implantation/*methods[MESH]
  • |Pulmonary Embolism/*prevention & control[MESH]
  • |Recurrence[MESH]
  • |Risk Assessment[MESH]
  • |Venous Thrombosis/etiology/*prevention & control[MESH]


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