Inferior Vena Cava Filter - Indications For Use

Indications For Use

While the ability to retrieve a filter does exist for many models, it cannot be guaranteed that all cases of filter placement will allow for, or be indicated for retrieval. Thus, the requirements and indications for permanent placement of filters is used to decide on when to use both permanent and temporary IVC filters.

Long-term risk factors must be considered as well, to include life expectancy of more than six months following insertion, and the ability of the patient to comply with anticoagulation therapy. The decision to use a filter that is temporary vs permanent basically is tied to the expected duration of time that protection is needed to prevent Pulmonary Emboli from passing to the heart and lungs. One such guideline is outlined below:

• Contraindications to anticoagulation; e.g. a patient with DVT or PE who has another condition that puts them at risk of bleeding, such as a recent bleed into the brain, or a patient about to undergo major surgery
• Short Term Risk of PE/Short Term contraindication of anticoagulation: Usually merits a retrievable filter
• Uncertain Risk of PE and/or lack of control for anticoagulation: Usually results in permanent filters for long term management
• Long Term Risk of PE/Recurrent PE/Recurrent DVT: Permanent Filter