The Society of Interventional Radiology (SIR) has published new evidence-based recommendations on the use of inferior vena cava (IVC) filters for the treatment of venous thromboembolism.
The society advises against routinely placing IVC filters in patients with venous thromboembolism who are being treated successfully with anticoagulants. However, if that therapy fails or is not indicated for a patient, IVC filters may be considered for placement if clinical risk factors like bleeding, vascular injury, device migration, and increased risk of recurrent deep vein thrombosis are considered low risk.
When filters are placed, SIR recommends establishing follow-up programs to boost retrieval and detect complications. Finally, if patients with retrievable IVC filters are no longer at risk of developing pulmonary embolisms, it is recommended that they are removed until the risks outweigh the benefits.
Read the complete guidelines here.
