W R Leeper1,2, P B Murphy3,4, K N Vogt3, T J Leeper3, S W Kribs5, D K Gray3,6, N G Parry3,6,7,8. 1. Department of Surgery, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada. rob.leeper@gmail.com. 2. Division of Critical Care, London Health Sciences Centre, London, ON, Canada. rob.leeper@gmail.com. 3. Department of Surgery, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada. 4. Division of General Surgery, London Health Sciences Centre, Room E2-217, Victoria Hospital, 800 Commissioners Road East, London, ON, N6A 5W9, Canada. 5. Department of Radiology, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada. 6. Trauma Program, London Health Sciences Centre, London, ON, Canada. 7. Centre for Critical Illness Research, London, ON, Canada. 8. Division of Critical Care, London Health Sciences Centre, London, ON, Canada.
Abstract
PURPOSE: Concerns have arisen regarding the use of retrievable inferior vena cava filters (rIVCFs) in trauma patients due to increasing reports of low retrieval rates. We hypothesized that complete follow-up with a dedicated trauma nurse practitioner would be associated with a higher rate of retrievability. This study was undertaken to determine the rate of retrievability of rIVCFs placed in a Canadian Lead Trauma Centre, and to compare the rate of retrievability in our trauma population to our non-trauma patients. METHODS: We performed a retrospective cohort study of all patients with rIVCF placed between Jan 1 2000 and June 30 2014. Data were collected on demographics, indication for filter placement, retrieval status, and reasons for non-retrieval. Comparison was made between trauma patients and non-trauma patients. RESULTS: A total of 374 rIVCFs were placed (61 in trauma patients and 313 in non-trauma patients) and follow-up was complete for the entire cohort. Filter retrieval was achieved in 86.9 % of trauma patients. Reasons for non-retrieval were technical in two patients, and death before retrieval in six patients. Retrieval was successful in 48.9 % of non-trauma patients. CONCLUSIONS: This study demonstrates that rIVCFs can be successfully retrieved amongst trauma patients. We demonstrated a higher rate of successful retrieval amongst trauma patients than non-trauma patients in our institution. Careful patient follow-up may play a role in successful retrieval of rIVCFs.
PURPOSE: Concerns have arisen regarding the use of retrievable inferior vena cava filters (rIVCFs) in traumapatients due to increasing reports of low retrieval rates. We hypothesized that complete follow-up with a dedicated trauma nurse practitioner would be associated with a higher rate of retrievability. This study was undertaken to determine the rate of retrievability of rIVCFs placed in a Canadian Lead Trauma Centre, and to compare the rate of retrievability in our trauma population to our non-traumapatients. METHODS: We performed a retrospective cohort study of all patients with rIVCF placed between Jan 1 2000 and June 30 2014. Data were collected on demographics, indication for filter placement, retrieval status, and reasons for non-retrieval. Comparison was made between traumapatients and non-traumapatients. RESULTS: A total of 374 rIVCFs were placed (61 in traumapatients and 313 in non-traumapatients) and follow-up was complete for the entire cohort. Filter retrieval was achieved in 86.9 % of traumapatients. Reasons for non-retrieval were technical in two patients, and death before retrieval in six patients. Retrieval was successful in 48.9 % of non-traumapatients. CONCLUSIONS: This study demonstrates that rIVCFs can be successfully retrieved amongst traumapatients. We demonstrated a higher rate of successful retrieval amongst traumapatients than non-traumapatients in our institution. Careful patient follow-up may play a role in successful retrieval of rIVCFs.
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