Single center experience of inferior vena cava filter retrieval in trauma patients: contrast-enhanced CT-based retrieval within hospital stay
To assess the safety and retrieval rate of a predischarge inferior vena cava (IVC) filter retrieval strategy based on contrast computed tomography (CT). IVC filter insertion for trauma patients from 2010 to 2018 were reviewed. An active filter retrieval strategy was established in March 2017. The st...
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| Veröffentlicht in: | Clinical imaging 2021-11, Vol.79, p.43-47 |
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| creator | Kim, Miran Lee, Sang Yub Cha, Jung Guen Hong, Jihoon Lim, Kyoung Hoon Lee, Jaehee Cha, Seung-Ick Kim, Chang-Ho Kim, Hyung-Kee Oh, Chang-Wug |
| description | To assess the safety and retrieval rate of a predischarge inferior vena cava (IVC) filter retrieval strategy based on contrast computed tomography (CT).
IVC filter insertion for trauma patients from 2010 to 2018 were reviewed. An active filter retrieval strategy was established in March 2017. The strategy sought early evaluation of venous thromboembolism (VTE) status and filter retrieval before a patient's discharge. The possibility of early IVC filter retrieval was evaluated by a multidisciplinary team based on pre-filter retrieval VTE-CT findings. Overall VTE-CT findings, retrieval rate, indwelling time, and recurrence of venous thromboembolic events were compared before and after the filter retrieval strategy setup.
177 IVC filters were inserted in trauma patients. All patients underwent pre-filter retrieval VTE-CT. VTE-CT findings were as follows: completely resolved VTE, n = 108 (61%); partially improved, n = 58 (33%); no change, n = 8 (5%); aggravated, n = 3 (2%). The overall retrieval rate was 84% with a mean indwelling time of 32 days. In subgroup analyses, 95 (53%) had filter retrieval with the before strategy (BS) setup and 82 (47%) with the after strategy (AS) setup. The retrieval rate was significantly higher in the AS group [81/82 (99%) vs. 68/95 (72%), (p |
| doi_str_mv | 10.1016/j.clinimag.2021.04.004 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2515683367</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0899707121001637</els_id><sourcerecordid>2574732496</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-1e0a1f7c8346bad11b1e68d01ec30aa17bc5099acbac9dafb0b5d5c0860aafc13</originalsourceid><addsrcrecordid>eNqFkcFu1DAQhi0EotvCK1SWuHBJsOMkjjmBVlCQKnGgnK2JM-l6lXWC7d3Sh-CdmWVbkLhwssf-_hnLH2OXUpRSyPbNtnSTD34Ht2UlKlmKuhSifsJWstOqqGtjnrKV6IwptNDyjJ2ntBUUNLV-zs6U6nRlZLNiP7_6cDshdxgyRo4_Foweg0M-j9yHkao58gMG4A4OwEc_HbmImbADTMTwHGG_A75ApmROb7mbA52lXGDYAPUa-Pqm6CHR5m_wzucNhTdzWnymOmW4f8GejTAlfPmwXrBvHz_crD8V11-uPq_fXxdOmTYXEgXIUbtO1W0Pg5S9xLYbhESnBIDUvWuEMeB6cGaAsRd9MzROdC3djk6qC_b61HeJ8_c9pmx3PjmcJgg475OtGtm0nVKtJvTVP-h23sdAryNK11pVtWmJak-Ui3NKEUe7RJIT760U9ijMbu2jMHsUZkVtSRgFLx_a7_sdDn9ij4YIeHcCkP7j4DHa5H4LGnxEl-0w-__N-AWoba3-</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2574732496</pqid></control><display><type>article</type><title>Single center experience of inferior vena cava filter retrieval in trauma patients: contrast-enhanced CT-based retrieval within hospital stay</title><source>Access via ScienceDirect (Elsevier)</source><creator>Kim, Miran ; Lee, Sang Yub ; Cha, Jung Guen ; Hong, Jihoon ; Lim, Kyoung Hoon ; Lee, Jaehee ; Cha, Seung-Ick ; Kim, Chang-Ho ; Kim, Hyung-Kee ; Oh, Chang-Wug</creator><creatorcontrib>Kim, Miran ; Lee, Sang Yub ; Cha, Jung Guen ; Hong, Jihoon ; Lim, Kyoung Hoon ; Lee, Jaehee ; Cha, Seung-Ick ; Kim, Chang-Ho ; Kim, Hyung-Kee ; Oh, Chang-Wug</creatorcontrib><description>To assess the safety and retrieval rate of a predischarge inferior vena cava (IVC) filter retrieval strategy based on contrast computed tomography (CT).
IVC filter insertion for trauma patients from 2010 to 2018 were reviewed. An active filter retrieval strategy was established in March 2017. The strategy sought early evaluation of venous thromboembolism (VTE) status and filter retrieval before a patient's discharge. The possibility of early IVC filter retrieval was evaluated by a multidisciplinary team based on pre-filter retrieval VTE-CT findings. Overall VTE-CT findings, retrieval rate, indwelling time, and recurrence of venous thromboembolic events were compared before and after the filter retrieval strategy setup.
177 IVC filters were inserted in trauma patients. All patients underwent pre-filter retrieval VTE-CT. VTE-CT findings were as follows: completely resolved VTE, n = 108 (61%); partially improved, n = 58 (33%); no change, n = 8 (5%); aggravated, n = 3 (2%). The overall retrieval rate was 84% with a mean indwelling time of 32 days. In subgroup analyses, 95 (53%) had filter retrieval with the before strategy (BS) setup and 82 (47%) with the after strategy (AS) setup. The retrieval rate was significantly higher in the AS group [81/82 (99%) vs. 68/95 (72%), (p < 0.001)]. No patients had recurrent VTE during the follow-up period.
The active strategy of VTE-CT-based filter retrieval during the hospital stay markedly improved the filter retrieval rate from 72% to 99% without evidence of recurrence of VTE. Hazards of low retrieval rate versus CT-related radiation exposure should be studied in the future.
•Most common reason of IVC filter retrieval failure is loss to follow-up.•Follow-up CT demonstrated that most of venous thromboembolisms were resolved.•Filter retrieval within hospital stay markedly increased the retrieval rate.•Radiation exposure versus low retrieval rate should be further studied.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2021.04.004</identifier><identifier>PMID: 33872915</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Bone surgery ; Computed tomography ; Evaluation ; Filter retrieval ; Inferior vena cava filter ; Orthopedics ; Outpatient care facilities ; Patients ; Population ; Prefilters ; Pulmonology ; Radiation ; Radiation effects ; Retrieval ; Retrieval rate ; Software ; Statistical analysis ; Subgroups ; Thromboembolism ; Trauma ; Vascular surgery ; Venous thromboembolism</subject><ispartof>Clinical imaging, 2021-11, Vol.79, p.43-47</ispartof><rights>2021</rights><rights>Copyright © 2021. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Nov 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-1e0a1f7c8346bad11b1e68d01ec30aa17bc5099acbac9dafb0b5d5c0860aafc13</citedby><cites>FETCH-LOGICAL-c396t-1e0a1f7c8346bad11b1e68d01ec30aa17bc5099acbac9dafb0b5d5c0860aafc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.clinimag.2021.04.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33872915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Miran</creatorcontrib><creatorcontrib>Lee, Sang Yub</creatorcontrib><creatorcontrib>Cha, Jung Guen</creatorcontrib><creatorcontrib>Hong, Jihoon</creatorcontrib><creatorcontrib>Lim, Kyoung Hoon</creatorcontrib><creatorcontrib>Lee, Jaehee</creatorcontrib><creatorcontrib>Cha, Seung-Ick</creatorcontrib><creatorcontrib>Kim, Chang-Ho</creatorcontrib><creatorcontrib>Kim, Hyung-Kee</creatorcontrib><creatorcontrib>Oh, Chang-Wug</creatorcontrib><title>Single center experience of inferior vena cava filter retrieval in trauma patients: contrast-enhanced CT-based retrieval within hospital stay</title><title>Clinical imaging</title><addtitle>Clin Imaging</addtitle><description>To assess the safety and retrieval rate of a predischarge inferior vena cava (IVC) filter retrieval strategy based on contrast computed tomography (CT).
IVC filter insertion for trauma patients from 2010 to 2018 were reviewed. An active filter retrieval strategy was established in March 2017. The strategy sought early evaluation of venous thromboembolism (VTE) status and filter retrieval before a patient's discharge. The possibility of early IVC filter retrieval was evaluated by a multidisciplinary team based on pre-filter retrieval VTE-CT findings. Overall VTE-CT findings, retrieval rate, indwelling time, and recurrence of venous thromboembolic events were compared before and after the filter retrieval strategy setup.
177 IVC filters were inserted in trauma patients. All patients underwent pre-filter retrieval VTE-CT. VTE-CT findings were as follows: completely resolved VTE, n = 108 (61%); partially improved, n = 58 (33%); no change, n = 8 (5%); aggravated, n = 3 (2%). The overall retrieval rate was 84% with a mean indwelling time of 32 days. In subgroup analyses, 95 (53%) had filter retrieval with the before strategy (BS) setup and 82 (47%) with the after strategy (AS) setup. The retrieval rate was significantly higher in the AS group [81/82 (99%) vs. 68/95 (72%), (p < 0.001)]. No patients had recurrent VTE during the follow-up period.
The active strategy of VTE-CT-based filter retrieval during the hospital stay markedly improved the filter retrieval rate from 72% to 99% without evidence of recurrence of VTE. Hazards of low retrieval rate versus CT-related radiation exposure should be studied in the future.
•Most common reason of IVC filter retrieval failure is loss to follow-up.•Follow-up CT demonstrated that most of venous thromboembolisms were resolved.•Filter retrieval within hospital stay markedly increased the retrieval rate.•Radiation exposure versus low retrieval rate should be further studied.</description><subject>Bone surgery</subject><subject>Computed tomography</subject><subject>Evaluation</subject><subject>Filter retrieval</subject><subject>Inferior vena cava filter</subject><subject>Orthopedics</subject><subject>Outpatient care facilities</subject><subject>Patients</subject><subject>Population</subject><subject>Prefilters</subject><subject>Pulmonology</subject><subject>Radiation</subject><subject>Radiation effects</subject><subject>Retrieval</subject><subject>Retrieval rate</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Subgroups</subject><subject>Thromboembolism</subject><subject>Trauma</subject><subject>Vascular surgery</subject><subject>Venous thromboembolism</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkcFu1DAQhi0EotvCK1SWuHBJsOMkjjmBVlCQKnGgnK2JM-l6lXWC7d3Sh-CdmWVbkLhwssf-_hnLH2OXUpRSyPbNtnSTD34Ht2UlKlmKuhSifsJWstOqqGtjnrKV6IwptNDyjJ2ntBUUNLV-zs6U6nRlZLNiP7_6cDshdxgyRo4_Foweg0M-j9yHkao58gMG4A4OwEc_HbmImbADTMTwHGG_A75ApmROb7mbA52lXGDYAPUa-Pqm6CHR5m_wzucNhTdzWnymOmW4f8GejTAlfPmwXrBvHz_crD8V11-uPq_fXxdOmTYXEgXIUbtO1W0Pg5S9xLYbhESnBIDUvWuEMeB6cGaAsRd9MzROdC3djk6qC_b61HeJ8_c9pmx3PjmcJgg475OtGtm0nVKtJvTVP-h23sdAryNK11pVtWmJak-Ui3NKEUe7RJIT760U9ijMbu2jMHsUZkVtSRgFLx_a7_sdDn9ij4YIeHcCkP7j4DHa5H4LGnxEl-0w-__N-AWoba3-</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Kim, Miran</creator><creator>Lee, Sang Yub</creator><creator>Cha, Jung Guen</creator><creator>Hong, Jihoon</creator><creator>Lim, Kyoung Hoon</creator><creator>Lee, Jaehee</creator><creator>Cha, Seung-Ick</creator><creator>Kim, Chang-Ho</creator><creator>Kim, Hyung-Kee</creator><creator>Oh, Chang-Wug</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20211101</creationdate><title>Single center experience of inferior vena cava filter retrieval in trauma patients: contrast-enhanced CT-based retrieval within hospital stay</title><author>Kim, Miran ; Lee, Sang Yub ; Cha, Jung Guen ; Hong, Jihoon ; Lim, Kyoung Hoon ; Lee, Jaehee ; Cha, Seung-Ick ; Kim, Chang-Ho ; Kim, Hyung-Kee ; Oh, Chang-Wug</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-1e0a1f7c8346bad11b1e68d01ec30aa17bc5099acbac9dafb0b5d5c0860aafc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bone surgery</topic><topic>Computed tomography</topic><topic>Evaluation</topic><topic>Filter retrieval</topic><topic>Inferior vena cava filter</topic><topic>Orthopedics</topic><topic>Outpatient care facilities</topic><topic>Patients</topic><topic>Population</topic><topic>Prefilters</topic><topic>Pulmonology</topic><topic>Radiation</topic><topic>Radiation effects</topic><topic>Retrieval</topic><topic>Retrieval rate</topic><topic>Software</topic><topic>Statistical analysis</topic><topic>Subgroups</topic><topic>Thromboembolism</topic><topic>Trauma</topic><topic>Vascular surgery</topic><topic>Venous thromboembolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Miran</creatorcontrib><creatorcontrib>Lee, Sang Yub</creatorcontrib><creatorcontrib>Cha, Jung Guen</creatorcontrib><creatorcontrib>Hong, Jihoon</creatorcontrib><creatorcontrib>Lim, Kyoung Hoon</creatorcontrib><creatorcontrib>Lee, Jaehee</creatorcontrib><creatorcontrib>Cha, Seung-Ick</creatorcontrib><creatorcontrib>Kim, Chang-Ho</creatorcontrib><creatorcontrib>Kim, Hyung-Kee</creatorcontrib><creatorcontrib>Oh, Chang-Wug</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Miran</au><au>Lee, Sang Yub</au><au>Cha, Jung Guen</au><au>Hong, Jihoon</au><au>Lim, Kyoung Hoon</au><au>Lee, Jaehee</au><au>Cha, Seung-Ick</au><au>Kim, Chang-Ho</au><au>Kim, Hyung-Kee</au><au>Oh, Chang-Wug</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single center experience of inferior vena cava filter retrieval in trauma patients: contrast-enhanced CT-based retrieval within hospital stay</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>79</volume><spage>43</spage><epage>47</epage><pages>43-47</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><abstract>To assess the safety and retrieval rate of a predischarge inferior vena cava (IVC) filter retrieval strategy based on contrast computed tomography (CT).
IVC filter insertion for trauma patients from 2010 to 2018 were reviewed. An active filter retrieval strategy was established in March 2017. The strategy sought early evaluation of venous thromboembolism (VTE) status and filter retrieval before a patient's discharge. The possibility of early IVC filter retrieval was evaluated by a multidisciplinary team based on pre-filter retrieval VTE-CT findings. Overall VTE-CT findings, retrieval rate, indwelling time, and recurrence of venous thromboembolic events were compared before and after the filter retrieval strategy setup.
177 IVC filters were inserted in trauma patients. All patients underwent pre-filter retrieval VTE-CT. VTE-CT findings were as follows: completely resolved VTE, n = 108 (61%); partially improved, n = 58 (33%); no change, n = 8 (5%); aggravated, n = 3 (2%). The overall retrieval rate was 84% with a mean indwelling time of 32 days. In subgroup analyses, 95 (53%) had filter retrieval with the before strategy (BS) setup and 82 (47%) with the after strategy (AS) setup. The retrieval rate was significantly higher in the AS group [81/82 (99%) vs. 68/95 (72%), (p < 0.001)]. No patients had recurrent VTE during the follow-up period.
The active strategy of VTE-CT-based filter retrieval during the hospital stay markedly improved the filter retrieval rate from 72% to 99% without evidence of recurrence of VTE. Hazards of low retrieval rate versus CT-related radiation exposure should be studied in the future.
•Most common reason of IVC filter retrieval failure is loss to follow-up.•Follow-up CT demonstrated that most of venous thromboembolisms were resolved.•Filter retrieval within hospital stay markedly increased the retrieval rate.•Radiation exposure versus low retrieval rate should be further studied.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33872915</pmid><doi>10.1016/j.clinimag.2021.04.004</doi><tpages>5</tpages></addata></record> |
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| subjects | Bone surgery Computed tomography Evaluation Filter retrieval Inferior vena cava filter Orthopedics Outpatient care facilities Patients Population Prefilters Pulmonology Radiation Radiation effects Retrieval Retrieval rate Software Statistical analysis Subgroups Thromboembolism Trauma Vascular surgery Venous thromboembolism |
| title | Single center experience of inferior vena cava filter retrieval in trauma patients: contrast-enhanced CT-based retrieval within hospital stay |
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