Keywords:
Catheter venography, Veins / Vena cava, Vascular, Interventional vascular, Fluoroscopy, Filter insertions, Outcomes
Authors:
V. Murad1, E. Salinas2, S. C. velasco1, L. K. Cifuentes Gaitán1, O. Rivero3, A. J. Morillo1, N. Useche1; 1Bogota/CO, 2Colombia/CO, 3bogotá, Bogota/CO
DOI:
10.1594/ecr2018/C-0041
Conclusion
Despite the widespread use of IVCF,
its prophylactic indications are still controversial and are determined mainly by each institution and its working groups.
In our institution,
most prophylactic IVCF are indicated as part of comprehensive management in patients undergoing Sugarbaker surgery,
which is widely performed as part of the treatment of peritoneal neoplasms.
It is an indication unfrequently mentioned in the available literature,
but being high-risk patients due to their neoplastic compromise who undergo a major surgery,
they benefit greatly from the use of filters in their integral management.
In our series of 80 cases only 11 presented thrombotic complications in the postoperative period,
demonstrating its benefit.
Another frequent indication in our series was major surgery in a patient with a high risk of embolic disease,
which is described in the literature even though it is not included in the practical standards defined by the Society of Interventional Radiology (SIR).
The majority of indications were found in patients undergoing oncological,
orthopedic and neurosurgical surgery,
all with excellent results.
We consider then that in addition to the currently recommended prophylactic indications,
there are other potential ones,
determined to a large extent by each institution and its working groups.
The analysis of this group of patients corroborates the benefit of the use of prophylactic IVCF in selected patients and also opens the door to new indications for its use,
demonstrating the excellent results it can have for patients.