Article | 合法醫療器材資訊網

由AKAbdel-Aal著作—Currently,theindicationsforIVCfilterplacementaretherapeuticandprophylactic​....Prophylacticindicationsincludeseveretrauma,closedhead ...

Pulmonary embolism (PE) is a leading cause of morbidity and mortality in the United States, causing 50,000 to 200,000 deaths yearly.1 While anticoagulation is the gold standard of treatment, interruption of the inferior vena cava (IVC) is indicated in those whom anticoagulation is contraindicated or has failed. The role of IVC filter placement is only to prevent clinically significant PE by trapping venous emboli.2 Recurrent PE following filter placement is very low, reported as approximately 2%-5% of cases.3

Currently, the indications for IVC filter placement are therapeutic and prophylactic. Therapeutic indications are those that have documented venous thromboembolism (VTE) and at least one of the following: absolute or relative contraindications to anticoagulation, complications from prior anticoagulation, failure of anticoagulation, recurrent PE despite anticoagulation, progression of deep venous th...