British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry
Purpose The British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry was produced to provide an audit of current United Kingdom (UK) practice regarding placement and retrieval of IVC filters to address concerns regarding their safety. Methods The IVC filter registr...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2013-12, Vol.36 (6), p.1548-1561 |
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| creator | Uberoi, Raman Tapping, Charles Ross Chalmers, Nicholas Allgar, Victoria |
| description | Purpose
The British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry was produced to provide an audit of current United Kingdom (UK) practice regarding placement and retrieval of IVC filters to address concerns regarding their safety.
Methods
The IVC filter registry is a web-based registry, launched by the BSIR on behalf of its membership in October 2007. This report is based on prospectively collected data from October 2007 to March 2011. This report contains analysis of data on 1,434 IVC filter placements and 400 attempted retrievals performed at 68 UK centers. Data collected included patient demographics, insertion and retrieval data, and patient follow-up.
Results
IVC filter use in the majority of patients in the UK follows accepted CIRSE guidelines. Filter placement is usually a low-risk procedure, with a low major complication rate ( |
| doi_str_mv | 10.1007/s00270-013-0606-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_osti_</sourceid><recordid>TN_cdi_osti_scitechconnect_22207968</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1448210306</sourcerecordid><originalsourceid>FETCH-LOGICAL-c509t-7f3f0affd6868c436c214fc239b1cac763bb219f056ae04bb141490db05822e83</originalsourceid><addsrcrecordid>eNp1kcFOGzEQhi3UCgLlAbggS1zCYcuM7fXuHiEqbSSkSoGiSj1YXscORps1tR2kvD2bLqVcevJhvv8feT5CThA-I0B1kQBYBQUgL0CCLNgemaDgrIBa_vxAJoCVKLAs8YAcpvQIgGXNyn1ywHiJ2DRsQn5dRZ99eqC3wXibtzQ4Ou-zjc-2zz70uqMLvfShC6stnV7dzhfnw9zZ6EOk97bXdKafNZ3O72fn9Np3Q5Iu7MqnHLefyEenu2SPX98j8uP6y93sW3Hz_et8dnlTmBKaXFSOO9DOLWUtayO4NAyFM4w3LRptKsnblmHjoJTagmhbFCgaWLYw_IbZmh-Rs7E3pOxVMj5b82BC31uTFWMMqkbuqOlIPcXwe2NTVmufjO063duwSQqFqBkCB_mv8A19DJs43OIPVQnZML6jcKRMDClF69RT9GsdtwpB7fyo0Y8a_KidH8WGzOlr86Zd2-Vb4q-QAWAjkIZRv7Lx3er_tr4AFimXcg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1447469236</pqid></control><display><type>article</type><title>British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Uberoi, Raman ; Tapping, Charles Ross ; Chalmers, Nicholas ; Allgar, Victoria</creator><creatorcontrib>Uberoi, Raman ; Tapping, Charles Ross ; Chalmers, Nicholas ; Allgar, Victoria</creatorcontrib><description>Purpose
The British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry was produced to provide an audit of current United Kingdom (UK) practice regarding placement and retrieval of IVC filters to address concerns regarding their safety.
Methods
The IVC filter registry is a web-based registry, launched by the BSIR on behalf of its membership in October 2007. This report is based on prospectively collected data from October 2007 to March 2011. This report contains analysis of data on 1,434 IVC filter placements and 400 attempted retrievals performed at 68 UK centers. Data collected included patient demographics, insertion and retrieval data, and patient follow-up.
Results
IVC filter use in the majority of patients in the UK follows accepted CIRSE guidelines. Filter placement is usually a low-risk procedure, with a low major complication rate (<0.5 %). Cook Gunther Tulip (560 filters: 39 %) and Celect (359 filters: 25 %) filters constituted the majority of IVC filters inserted, with Bard G2, Recovery filters, Cordis Trapease, and OptEase constituting most of the remainder (445 filters: 31 %). More than 96 % of IVC filters deployed as intended. Operator inexperience (<25 procedure) was significantly associated with complications (
p
< 0.001). Of the IVC filters initially intended for temporary placement, retrieval was attempted in 78 %. Of these retrieval was technically successful in 83 %. Successful retrieval was significantly reduced for implants left in situ for >9 weeks versus those with a shorter dwell time. New lower limb deep vein thrombosis (DVT) and/or IVC thrombosis was reported in 88 patients following filter placement, there was no significant difference of incidence between filter types.
Conclusions
This registry report provides interventional radiologists and clinicians with an improved understanding of the technical aspects of IVC filter placement to help improve practice, and the potential consequences of IVC filter placement so that we are better able to advise patients. There is a significant learning curve associated with IVC filter insertion, and when a filter is placed with the intention of removal, procedures should be in place to avoid the patient being lost to follow-up.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-013-0606-2</identifier><identifier>PMID: 23511992</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Age Distribution ; Aged ; Aged, 80 and over ; BIOMEDICAL RADIOGRAPHY ; Cardiology ; Clinical Investigation ; DATA ANALYSIS ; Device Removal - statistics & numerical data ; Female ; HEALTH HAZARDS ; Humans ; Imaging ; IMPLANTS ; LIMBS ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; PATIENTS ; Practice Guidelines as Topic ; Pulmonary Embolism - surgery ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; Radiology, Interventional - statistics & numerical data ; RECOMMENDATIONS ; Registries - statistics & numerical data ; Societies, Medical ; THROMBOSIS ; Time Factors ; Treatment Outcome ; Ultrasound ; UNITED KINGDOM ; VEINS ; Vena Cava Filters - statistics & numerical data ; Vena Cava, Inferior - surgery ; Venous Thromboembolism - surgery ; Young Adult</subject><ispartof>Cardiovascular and interventional radiology, 2013-12, Vol.36 (6), p.1548-1561</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-7f3f0affd6868c436c214fc239b1cac763bb219f056ae04bb141490db05822e83</citedby><cites>FETCH-LOGICAL-c509t-7f3f0affd6868c436c214fc239b1cac763bb219f056ae04bb141490db05822e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-013-0606-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-013-0606-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23511992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22207968$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Uberoi, Raman</creatorcontrib><creatorcontrib>Tapping, Charles Ross</creatorcontrib><creatorcontrib>Chalmers, Nicholas</creatorcontrib><creatorcontrib>Allgar, Victoria</creatorcontrib><title>British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
The British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry was produced to provide an audit of current United Kingdom (UK) practice regarding placement and retrieval of IVC filters to address concerns regarding their safety.
Methods
The IVC filter registry is a web-based registry, launched by the BSIR on behalf of its membership in October 2007. This report is based on prospectively collected data from October 2007 to March 2011. This report contains analysis of data on 1,434 IVC filter placements and 400 attempted retrievals performed at 68 UK centers. Data collected included patient demographics, insertion and retrieval data, and patient follow-up.
Results
IVC filter use in the majority of patients in the UK follows accepted CIRSE guidelines. Filter placement is usually a low-risk procedure, with a low major complication rate (<0.5 %). Cook Gunther Tulip (560 filters: 39 %) and Celect (359 filters: 25 %) filters constituted the majority of IVC filters inserted, with Bard G2, Recovery filters, Cordis Trapease, and OptEase constituting most of the remainder (445 filters: 31 %). More than 96 % of IVC filters deployed as intended. Operator inexperience (<25 procedure) was significantly associated with complications (
p
< 0.001). Of the IVC filters initially intended for temporary placement, retrieval was attempted in 78 %. Of these retrieval was technically successful in 83 %. Successful retrieval was significantly reduced for implants left in situ for >9 weeks versus those with a shorter dwell time. New lower limb deep vein thrombosis (DVT) and/or IVC thrombosis was reported in 88 patients following filter placement, there was no significant difference of incidence between filter types.
Conclusions
This registry report provides interventional radiologists and clinicians with an improved understanding of the technical aspects of IVC filter placement to help improve practice, and the potential consequences of IVC filter placement so that we are better able to advise patients. There is a significant learning curve associated with IVC filter insertion, and when a filter is placed with the intention of removal, procedures should be in place to avoid the patient being lost to follow-up.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>Cardiology</subject><subject>Clinical Investigation</subject><subject>DATA ANALYSIS</subject><subject>Device Removal - statistics & numerical data</subject><subject>Female</subject><subject>HEALTH HAZARDS</subject><subject>Humans</subject><subject>Imaging</subject><subject>IMPLANTS</subject><subject>LIMBS</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>PATIENTS</subject><subject>Practice Guidelines as Topic</subject><subject>Pulmonary Embolism - surgery</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Radiology, Interventional - statistics & numerical data</subject><subject>RECOMMENDATIONS</subject><subject>Registries - statistics & numerical data</subject><subject>Societies, Medical</subject><subject>THROMBOSIS</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><subject>UNITED KINGDOM</subject><subject>VEINS</subject><subject>Vena Cava Filters - statistics & numerical data</subject><subject>Vena Cava, Inferior - surgery</subject><subject>Venous Thromboembolism - surgery</subject><subject>Young Adult</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kcFOGzEQhi3UCgLlAbggS1zCYcuM7fXuHiEqbSSkSoGiSj1YXscORps1tR2kvD2bLqVcevJhvv8feT5CThA-I0B1kQBYBQUgL0CCLNgemaDgrIBa_vxAJoCVKLAs8YAcpvQIgGXNyn1ywHiJ2DRsQn5dRZ99eqC3wXibtzQ4Ou-zjc-2zz70uqMLvfShC6stnV7dzhfnw9zZ6EOk97bXdKafNZ3O72fn9Np3Q5Iu7MqnHLefyEenu2SPX98j8uP6y93sW3Hz_et8dnlTmBKaXFSOO9DOLWUtayO4NAyFM4w3LRptKsnblmHjoJTagmhbFCgaWLYw_IbZmh-Rs7E3pOxVMj5b82BC31uTFWMMqkbuqOlIPcXwe2NTVmufjO063duwSQqFqBkCB_mv8A19DJs43OIPVQnZML6jcKRMDClF69RT9GsdtwpB7fyo0Y8a_KidH8WGzOlr86Zd2-Vb4q-QAWAjkIZRv7Lx3er_tr4AFimXcg</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>Uberoi, Raman</creator><creator>Tapping, Charles Ross</creator><creator>Chalmers, Nicholas</creator><creator>Allgar, Victoria</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20131201</creationdate><title>British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry</title><author>Uberoi, Raman ; Tapping, Charles Ross ; Chalmers, Nicholas ; Allgar, Victoria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-7f3f0affd6868c436c214fc239b1cac763bb219f056ae04bb141490db05822e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>Cardiology</topic><topic>Clinical Investigation</topic><topic>DATA ANALYSIS</topic><topic>Device Removal - statistics & numerical data</topic><topic>Female</topic><topic>HEALTH HAZARDS</topic><topic>Humans</topic><topic>Imaging</topic><topic>IMPLANTS</topic><topic>LIMBS</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>PATIENTS</topic><topic>Practice Guidelines as Topic</topic><topic>Pulmonary Embolism - surgery</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Radiology, Interventional - statistics & numerical data</topic><topic>RECOMMENDATIONS</topic><topic>Registries - statistics & numerical data</topic><topic>Societies, Medical</topic><topic>THROMBOSIS</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><topic>UNITED KINGDOM</topic><topic>VEINS</topic><topic>Vena Cava Filters - statistics & numerical data</topic><topic>Vena Cava, Inferior - surgery</topic><topic>Venous Thromboembolism - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Uberoi, Raman</creatorcontrib><creatorcontrib>Tapping, Charles Ross</creatorcontrib><creatorcontrib>Chalmers, Nicholas</creatorcontrib><creatorcontrib>Allgar, Victoria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Uberoi, Raman</au><au>Tapping, Charles Ross</au><au>Chalmers, Nicholas</au><au>Allgar, Victoria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>36</volume><issue>6</issue><spage>1548</spage><epage>1561</epage><pages>1548-1561</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
The British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry was produced to provide an audit of current United Kingdom (UK) practice regarding placement and retrieval of IVC filters to address concerns regarding their safety.
Methods
The IVC filter registry is a web-based registry, launched by the BSIR on behalf of its membership in October 2007. This report is based on prospectively collected data from October 2007 to March 2011. This report contains analysis of data on 1,434 IVC filter placements and 400 attempted retrievals performed at 68 UK centers. Data collected included patient demographics, insertion and retrieval data, and patient follow-up.
Results
IVC filter use in the majority of patients in the UK follows accepted CIRSE guidelines. Filter placement is usually a low-risk procedure, with a low major complication rate (<0.5 %). Cook Gunther Tulip (560 filters: 39 %) and Celect (359 filters: 25 %) filters constituted the majority of IVC filters inserted, with Bard G2, Recovery filters, Cordis Trapease, and OptEase constituting most of the remainder (445 filters: 31 %). More than 96 % of IVC filters deployed as intended. Operator inexperience (<25 procedure) was significantly associated with complications (
p
< 0.001). Of the IVC filters initially intended for temporary placement, retrieval was attempted in 78 %. Of these retrieval was technically successful in 83 %. Successful retrieval was significantly reduced for implants left in situ for >9 weeks versus those with a shorter dwell time. New lower limb deep vein thrombosis (DVT) and/or IVC thrombosis was reported in 88 patients following filter placement, there was no significant difference of incidence between filter types.
Conclusions
This registry report provides interventional radiologists and clinicians with an improved understanding of the technical aspects of IVC filter placement to help improve practice, and the potential consequences of IVC filter placement so that we are better able to advise patients. There is a significant learning curve associated with IVC filter insertion, and when a filter is placed with the intention of removal, procedures should be in place to avoid the patient being lost to follow-up.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>23511992</pmid><doi>10.1007/s00270-013-0606-2</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0174-1551 |
| ispartof | Cardiovascular and interventional radiology, 2013-12, Vol.36 (6), p.1548-1561 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_osti_scitechconnect_22207968 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Age Distribution Aged Aged, 80 and over BIOMEDICAL RADIOGRAPHY Cardiology Clinical Investigation DATA ANALYSIS Device Removal - statistics & numerical data Female HEALTH HAZARDS Humans Imaging IMPLANTS LIMBS Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine PATIENTS Practice Guidelines as Topic Pulmonary Embolism - surgery Radiology RADIOLOGY AND NUCLEAR MEDICINE Radiology, Interventional - statistics & numerical data RECOMMENDATIONS Registries - statistics & numerical data Societies, Medical THROMBOSIS Time Factors Treatment Outcome Ultrasound UNITED KINGDOM VEINS Vena Cava Filters - statistics & numerical data Vena Cava, Inferior - surgery Venous Thromboembolism - surgery Young Adult |
| title | British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry |
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