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A change in strategy for filter choice leads to improved filter retrieval rates

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Abstract

Objective: To assess whether a new strategy for the choice of inferior vena cava filter placed would improve filter retrieval rates at our institution. Methods: Consecutive patients who underwent retrievable filter placement for temporary embolic protection between January 2021 and January 2023 were considered for study inclusion. Risk factors for nonretrieval of short-term filters were identified in patients receiving filters between January 2021 and January 2022 (prestrategy group). For patients treated between February 2022 and January 2023 (poststrategy group), a long-term filter was recommended for those with these risk factors, and a short-term filter was recommended for those without these risk factors. Results: The study population included 303 patients (prestrategy group, n = 154; poststrategy group, n = 149). Long-term immobilization (odds ratio [OR] = 38.000; 95% confidence interval [CI]: 6.858-210.564), active cancer (OR = 17.643; 95% CI: 5.462–56.993), and venous thromboembolism detected in the intensive care unit (OR = 28.500; 95% CI: 7.419-109.477) were identified as independent risk factors for nonretrieval of short-term filters. The total retrieval rate was significantly higher in the poststrategy group (87.2%) than in the prestrategy group (72.7%; P = 0.002); the short-term filter retrieval rate was also significantly higher in the poststrategy group (84.5%) than in the prestrategy group (68.5%; P < 0.001). Conclusion: The proposed strategy for filter choice based on risk factors for short-term filter nonretrieval can accurately identify patients who need long-term filter placement while also increasing the retrieval rates for both short-term filters retrieval rates and overall retrieval rates.

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Abbreviations

IVC:

Inferior vena cava

CCI:

Chinese College of Interventionalists

ICU:

Intensive care unit

VTE:

Venous thromboembolism

SD:

Standard deviation

IQR:

Interquartile range

OD:

Odds ratios

CI:

confidence intervals

References

  1. Linehan V, Woodworth C, Dixit A, Skanes M (2021) Out of sight, out of mind: improving inferior vena cava filter insertion and removal rates at a tertiary care center. Thromb Res 202:148–150

    Article  CAS  PubMed  Google Scholar 

  2. Inagaki E, Farber A, Eslami MH, Siracuse JJ, Rybin DV, Sarosiek S, Sloan JM, Kalish J (2016) Improving the retrieval rate of inferior vena cava filters with a multidisciplinary team approach. J Vasc Surg Venous Lymphat Disord 4:276–282

    Article  PubMed  PubMed Central  Google Scholar 

  3. Winters JP, Morris CS, Holmes CE, Lewis P, Bhave AD, Najarian KE, Shields JT, Charash W, Cushman M (2017) A multidisciplinary quality improvement program increases the inferior vena cava filter retrieval rate. Vasc Med 22:51–56

    Article  PubMed  Google Scholar 

  4. Lee MJ, Valenti D, de Gregorio MA, Minocha J, Rimon U, Pellerin O (2015) The CIRSE Retrievable IVC Filter Registry: Retrieval Success Rates in Practice. Cardiovasc Intervent Radiol 38:1502–1507

    Article  CAS  PubMed  Google Scholar 

  5. Klinken S, Humphries C, Ferguson J (2017) Establishment of an inferior vena cava filter database and interventional radiology led follow-up - retrieval rates and patients lost to follow-up. J Med Imaging Radiat Oncol 61:630–635

    Article  PubMed  Google Scholar 

  6. Salei A, Raborn J, Manapragada PP, Stoneburner CG, Aal AKA, Gunn AJ (2020) Effect of a dedicated inferior vena cava filter retrieval program on retrieval rates and number of patients lost to follow-up. Diagn Interv Radiol 26:40–44

    Article  PubMed  Google Scholar 

  7. Crumley KD, Hyatt E, Kalva SP, Shah H (2019) Factors Affecting Inferior Vena Cava Filter Retrieval: a review. Vasc Endovascular Surg 53:224–229

    Article  PubMed  Google Scholar 

  8. Buso G, Alatri A, Calanca L, Fresa M, Qanadli SD, Pesavento R, Mazzolai L (2020) Why optional inferior vena cava filters are not always retrieved? A real world 19 years experience in a Swiss tertiary care university hospital. Eur J Intern Med 76:64–70

    Article  PubMed  Google Scholar 

  9. Lavan O, Rimon U, Simon D, Khaitovich B, Segal B, Grossman E, Kleinbaum Y, Steinberg DM, Salomon O (2015) The use of optional inferior vena cava filters of type optease in trauma patients–a single type of filter in a single Medical Center. Thromb Res 135:873–876

    Article  CAS  PubMed  Google Scholar 

  10. Hirano S, Funatsu A, Nakamura S, Ikeda T (2021) Clinical evaluation of retrievable inferior vena cava filters for the prevention of pulmonary thromboembolism. Heart Vessels 36:1756–1764

    Article  PubMed  Google Scholar 

  11. Chinese college of interventionalists (2020) Expert consensus on inferior vena cava filters placement and retrieval specifications. Natl Med J China 27:2092–2101

    Google Scholar 

  12. Marron RM, Rali P, Hountras P, Bull TM (2020) Inferior Vena Cava filters: Past, Present, and Future. Chest 158:2579–2589

    Article  PubMed  Google Scholar 

  13. Yoon DY, Vavra AK, Eifler AC, Teter K, Eskandari MK, Ryu RK, Rodriguez HE (2017) Why Temporary Filters are not removed: clinical predictors in 1,000 consecutive cases. Ann Vasc Surg 42:64–70

    Article  PubMed  Google Scholar 

  14. Eifler AC, Lewandowski RJ, Gupta R, Karp J, Salem R, Lee J, Ryu RK (2013) Optional or permanent: clinical factors that optimize inferior vena cava filter utilization. J Vasc Interv Radiol 24:35–40

    Article  PubMed  Google Scholar 

  15. Gu J, Xu K, Teng G (2019) Consensus among Chinese experts on standard interventional therapy for deep venous thrombosis of lower extremity (second edition). J Interv Med 3:125–136

    Google Scholar 

  16. Ramaswamy RS, Jun E, van Beek D, Mani N, Salter A, Kim SK, Akinwande O (2018) Denali, Tulip, and Option Inferior Vena Cava Filter Retrieval: a single Center experience. Cardiovasc Intervent Radiol 41:572–577

    Article  PubMed  Google Scholar 

  17. Zhang F, Gu J, Li HL (2023) Diagnosis and treatment of venous thromboembolism and clinical application of inferior vena cava filter in China. J Vasc Surg Venous Lymphat Disord 11:1149–1156

    Article  PubMed  Google Scholar 

  18. Montgomery JP, Kaufman JA (2016) A critical review of available retrievable Inferior Vena Cava filters and future directions. Semin Intervent Radiol 33(2):79–87

    Article  PubMed  PubMed Central  Google Scholar 

  19. Zhao H, Zhang F, Liang G, Ye L, Zhang H, Niu L, Cheng L, Zhang M (2016) Preparation and experimental research into retrievable rapamycin- and heparin-coated vena cava filters: a pilot study. J Thromb Thrombolysis 41(3):422–432

    Article  CAS  PubMed  Google Scholar 

  20. Li H, Jia Z, Chen X, Tian F, Wang X (2016) Efficacy and retrievability of Aegisy Vena Cava Filter: a single Center experience in 213 patients. Ann Vasc Surg 36:226–230

    Article  PubMed  Google Scholar 

  21. Sutphin PD, Reis SP, McKune A, Ravanzo M, Kalva SP, Pillai AK (2015) Improving inferior vena cava filter retrieval rates with the define, measure, analyze, improve, control methodology. J Vasc Interv Radiol 26:491–498

    Article  PubMed  Google Scholar 

  22. Wang SL, Cha HH, Lin JR, Francis B, Elizabeth W, Martin P, Rajan S (2016) Impact of physician education and a dedicated inferior vena cava filter tracking system on inferior vena cava filter use and retrieval rates across a large US health care region. J Vasc Interv Radiol 27:740–748

    Article  PubMed  Google Scholar 

  23. Kim AS, Khorana AA, McCrae KR (2020) Mechanisms and biomarkers of cancer-associated thrombosis. Transl Res 225:33–53

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Krauss ES, Segal A, Cronin M, Dengler N, Lesser ML, Ahn S, Caprini JA (2019) Implementation and validation of the 2013 Caprini score for risk stratification of Arthroplasty patients in the Prevention of venous thrombosis. Clin Appl Thromb Hemost 25:1076029619838066

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

We thank Megan Griffiths, scientific writer, Cleveland, Ohio, USA, for her help with revising the manuscript.

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Authors and Affiliations

  1. Department of Interventional and Vascular Surgery, Changzhou No. 2 People’s Hospital, Xinglong road 29, Changzhou, 213003, China

    Lihao Qin, Kai Wang, Feng Tian, Zhongzhi Jia & Shaoqin Li

  2. Department of Interventional Radiology, Huaian Hospital of Huai’an City (Huaian Cancer Hospital), Huai’an, 223200, China

    Tongqing Xue

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  1. Lihao Qin
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  2. Kai Wang
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  3. Feng Tian
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Correspondence to Tongqing Xue, Zhongzhi Jia or Shaoqin Li.

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Qin, L., Wang, K., Tian, F. et al. A change in strategy for filter choice leads to improved filter retrieval rates. Heart Vessels (2024). https://doi.org/10.1007/s00380-024-02371-z

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