PMID- 32721588 OWN - NLM STAT- MEDLINE DCOM- 20210428 LR - 20211207 IS - 2213-3348 (Electronic) IS - 2213-333X (Print) VI - 9 IP - 1 DP - 2021 Jan TI - Contemporary management of chronic indwelling inferior vena cava filters. PG - 163-169 LID - S2213-333X(20)30412-1 [pii] LID - 10.1016/j.jvsv.2020.06.017 [doi] AB - OBJECTIVE: Despite increasing retrieval rates of the inferior vena cava (IVC) filter, less than one-third are removed within the recommended timeline. Prolonged filter dwell times may increase the technical difficulty of retrieval and filter-related complications. We sought to evaluate the contemporary outcomes of patients with chronic indwelling IVC filters at a tertiary care center. METHODS: A retrospective analysis was performed from August 2015 through August 2019 of all patients who were referred for removal of a prolonged IVC filter with a dwell time >1 year. Descriptive analysis was used to evaluate patients' characteristics and procedural outcomes, which were reviewed through electronic medical records. Data were expressed as median with interquartile range (IQR) or number and percentage, as appropriate. RESULTS: A total of 47 patients were identified with a median filter dwell time of 10.0 years (IQR, 6-13 years); 34 patients underwent IVC filter removal, and 13 patients refused retrieval. The median age of patients was 54.9 years (IQR, 42.5-64.0 years); the majority were female (57%) and white (53%). The most common indication for filter placement was high risk despite anticoagulation (49%), followed by venous thromboembolism prophylaxis (21%). The majority of patients were symptomatic (72%). If symptomatic, the most common reason for retrieval was IVC penetration (94%), and the chief complaint was pain (56%). Retrieval success was 97%, with a median length of stay of 0 days. The majority of retrievals were performed through an endovascular approach (97%). There was one postprocedural complication (3%). CONCLUSIONS: Despite prolonged dwell times, IVC filter retrieval can be performed safely and effectively in carefully selected patients at a tertiary referral center. CI - Copyright (c) 2020 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved. FAU - Ivanics, Tommy AU - Ivanics T AD - Department of Surgery, Henry Ford Hospital, Detroit, Mich. Electronic address: tivanic1@hfhs.org. FAU - Williams, Paul AU - Williams P AD - Vascular and Interventional Radiology, Department of Radiology, Henry Ford Hospital, Detroit, Mich. FAU - Nasser, Hassan AU - Nasser H AD - Department of Surgery, Henry Ford Hospital, Detroit, Mich. FAU - Leonard-Murali, Shravan AU - Leonard-Murali S AD - Department of Surgery, Henry Ford Hospital, Detroit, Mich. FAU - Schwartz, Scott AU - Schwartz S AD - Vascular and Interventional Radiology, Department of Radiology, Henry Ford Hospital, Detroit, Mich. FAU - Lin, Judith C AU - Lin JC AD - Division of Vascular Surgery, Department of Surgery, Henry Ford Hospital, Detroit, Mich. LA - eng GR - T32 CA113263/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20200725 PL - United States TA - J Vasc Surg Venous Lymphat Disord JT - Journal of vascular surgery. Venous and lymphatic disorders JID - 101607771 SB - IM MH - Adult MH - Databases, Factual MH - *Device Removal/adverse effects MH - Female MH - Foreign-Body Migration/diagnostic imaging/etiology/*surgery MH - Humans MH - Male MH - Middle Aged MH - Pain/diagnosis/etiology/*surgery MH - Prosthesis Implantation/adverse effects/*instrumentation MH - Retrospective Studies MH - Time Factors MH - Time-to-Treatment MH - Treatment Outcome MH - Vascular System Injuries/diagnostic imaging/etiology/*surgery MH - *Vena Cava Filters MH - Vena Cava, Inferior/diagnostic imaging/injuries/*surgery PMC - PMC8647818 MID - NIHMS1760008 OTO - NOTNLM OT - Chronic IVC filter OT - IVC filter OT - IVC filter retrieval OT - Long-term IVC filter COIS- Author conflict of interest: J.C.L. is a consultant for Bard. The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. EDAT- 2020/07/30 06:00 MHDA- 2021/04/29 06:00 PMCR- 2021/12/06 CRDT- 2020/07/30 06:00 PHST- 2020/03/23 00:00 [received] PHST- 2020/06/20 00:00 [accepted] PHST- 2020/07/30 06:00 [pubmed] PHST- 2021/04/29 06:00 [medline] PHST- 2020/07/30 06:00 [entrez] PHST- 2021/12/06 00:00 [pmc-release] AID - S2213-333X(20)30412-1 [pii] AID - 10.1016/j.jvsv.2020.06.017 [doi] PST - ppublish SO - J Vasc Surg Venous Lymphat Disord. 2021 Jan;9(1):163-169. doi: 10.1016/j.jvsv.2020.06.017. Epub 2020 Jul 25.