The Regained Referral Ground and Clinical Practice of Vena Cava Filter Placement in Vascular Surgery

Lin, Peter H.; Chen, Changyi; Conklin, Brian; Lumsden, Alan B.; Kulbaski, Mark J.; Terramani, Thomas T.; Bush, Ruth L.; Brinkman, William T.
October 2002
American Surgeon;Oct2002, Vol. 68 Issue 10, p865
Academic Journal
Interventional radiologist rather than vascular surgeons have become the predominant clinicians placing inferior vena cava (IVC) filters since the percutaneous device was introduced more than a decade ago. We conducted a retrospective analysis of 592 patients treated at a single institution between 1987 and 2000 to determine the indications, referral pattern, and clinical outcome of IVC filter placement between the radiologist and surgeon groups. Before 1989 all filters were placed by surgeons in the operating room. The adoption of the percutaneous delivery method by radiologists in 1989 led to a dramatic increase in its practice volume accounting for 99 per cent of all filters placed from 1991 to 1993 (P < 0.001). The development of an endovascular program by the vascular surgeons in 1994 led to a steady increase in its IVC filter practice annually (P < 0.05) and accounted for 42 per cent of all filter placements in 2000. A distinct referral pattern also emerged as 74 per cent of all filter placements by surgeons were referred by surgical services. The proportion of filter placement for strict indications remained constant over time between the two groups (P = 0.86). The complications and survival rates were not significantly different between the two groups (P = 0.24). Percutaneous devices have dramatically increased the clinical volume of IVC filter placement by interventional radiologists. Vascular surgeons with endovascular interest are well suited to perform the procedure and can regain referral ground of IVC filter placement.


Related Articles

  • Sharp central venous recanalization by means of a TIPS needle. Honnef, Dagmar; Wingen, Markus; Günther, Rolf; Haage, Patrick; Günther, Rolf W // CardioVascular & Interventional Radiology;Sep2005, Vol. 28 Issue 5, p673 

    The purpose of this study was to perform an alternative technique for recanalization of a chronic occlusion of the left brachiocephalic vein that could not be traversed with a guidewire. Restoration of a completely thrombosed left brachiocephalic vein was attempted in a 76-year-old male...

  • Curative resection and reconstruction of the inferior vena cava after extensive infiltration with low-grade endometrial stromal sarcoma. Delaney, C. L.; Saleem, H.; Karapetis, C.; Spark, J. I. // Phlebology;2/1/2013, Vol. 28 Issue 1, p51 

    Endometrial stromal sarcoma (ESS) rarely infiltrates the great vessels. We report a successful surgical resection of the inferior vena cava (IVC) after extensive infiltration with metastatic low-grade ESS. A case of presumed recurrence of low-grade ESS demonstrated complete IVC occlusion from...

  • Superior Vena Cava Syndrome: Role of the Interventionalist. Rachapalli, Vamsidhar; Boucher, Louis-Martin // Canadian Association of Radiologists Journal;May2014, Vol. 65 Issue 2, p168 

    Superior vena cava syndrome results from the obstruction of blood flow through the superior vena cava and is most often due to thoracic malignancy. However, benign etiologies are on the rise secondary to more frequent use of intravascular devices such as central venous catheters and pacemakers....

  • Experimental Percutaneous Extrahepatic Portacaval Shunt Creation by Transjugular Approach in Swine. Chang Kyu Seong; Pavcnik, Dusan; Uchida, Barry T.; Anai, Hiroshi; Timmermans, Hans; Niyyati, Mahtab; Corless, Christopher L.; Correa, Luiz O.; Keller, Frederick S.; Rösch, Josef // CardioVascular & Interventional Radiology;Sep2005, Vol. 28 Issue 5, p616 

    The purpose of the study was to evaluate the feasibility of the creation of a percutaneous extrahepatic portacaval shunt (PEPS) in swine by a transjugular approach and to find a suitable stent-graft to use in PEPS. In 12 swine, the extrahepatic portal vein (PV) was entered from the inferior vena...

  • Overview of Current Inferior Vena Cava Filters. Kercher, Kent; Sing, Ronald F. // American Surgeon;Aug2003, Vol. 69 Issue 8, p643 

    Inferior vena cava (IVC) filter technology has expanded dramatically over the past decade. Improvements in catheter and filter technology have allowed for the safe and rapid insertion of IVC filters from multiple venous access sites, using increasingly lower-profile percutaneous delivery...

  • Percutaneous closure of patent ductus arteriosus via internal jugular vein in patient with interrupted inferior vena cava. Patel, Nehal H.; Madan, Tarun H.; Panchal, Amar M.; Thakkar, Bhavesh M. // Annals of Pediatric Cardiology;2009, Vol. 2 Issue 2, p162 

    Transcatheter closure of patent ductus arteriosus (PDA) using various occluders and coils via femoral vein is a well established therapeutic option. However, in patients with interrupted inferior vena cava (IVC) it is not feasible to close the PDA percutaneously using traditional methods. We...

  • Leiomyosarcoma of Inferior Cava Vein: En Bloc Resection and Primary Repair of Vessel. Luigi, Marano; Michele, Grassia; Michele, Schettino; Francesco, Torelli; Raffaele, Porfidia; Gianmarco, Reda; Marianna, Petrillo; Bartolomeo, Braccio; Natale, Di Martino // American Surgeon;Jun2011, Vol. 77 Issue 6, pE121 

    The article discusses leiomyosarcoma of the inferior cava vein (IVC) and resection of the blood vessel. Diagnosis and treatment of IVC in a 64-year-old white man with a family history of leukemia and colon cancer are discussed. Common signs of vascular leiomyosarcoma, the origin of...

  • Venous Angioplasty and Stenting. Cragg, Andrew H. // Vascular Surgery;May/Jun1997, Vol. 31 Issue 3, p325 

    Discusses venous angioplasty and stenting. Demonstration of the utility of intraluminal stents; Information on stenting in conjunction with dialysis access fistula salvage; Definition of superior vena cava syndrome.

  • Disintegration with Right Ventricular and Pulmonary Embolization of a SMART Stent: A Case Report and Review of Literature. MUJTABA, MOHMMADTOKIR; SIDDIQI, SAADI A.; SADIQ, IMMAD; SPILLANE, ROBERT M. // Connecticut Medicine;Oct2014, Vol. 78 Issue 9, p521 

    As composition and design have improved the integrity and durability o f peripheral stents, vascular stent fracture and embolization have become less frequent complications of endovascular intervention. However, this phenomenon still remains a possibility with potentially catastrophic...

  • A Case of a Bloated Face: SVC Syndrome Relieved by an Endovascular Approach. SZERLIP, MOLLY; SINGH, GUNDEEP; LUFT, ULRICH C. // Journal of Interventional Cardiology;Feb2012, Vol. 25 Issue 1, p78 

    Superior vena cava (SVC) syndrome, or obstruction of blood returning from the head and upper extremities, is a syndrome that is rapidly increasing in the cardiovascular patient population due to the increasing use of transvenous devices such as permanent pacemakers, implantable cardioverter...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics