Meisner Robert J, Labropoulos Nicos, Gasparis Antonios P, Lampl Jenica, Xu Min, Tassiopoulos Apostolos K
Vascular Surgery Division, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY 11794, USA.
Vasc Endovascular Surg. 2012 Jan;46(1):21-5. doi: 10.1177/1538574411422274. Epub 2011 Dec 8.
Vena caval filter (VCF) use has been increasing in recent years. Prophylactic VCF placement has been applied liberally in high-risk patients.
Consecutive patients with VCF placement over a 2-year period at a university hospital were reviewed.
A total of 244 patients underwent VCF placement in 2 years. Of all, 54% of the patients had the VCF placed for an absolute indication, 14% for a relative indication, and 32% for prophylaxis. Only 14 (9%) of the retrievable filters were removed. Eight patients had a complication of VCF placement; there were no complications of filter retrieval. Vena caval filter placement for prophylaxis alone was 57% from the division of trauma and surgical critical care, 18.3% from interventional radiology department, and 5.2% from the division of vascular surgery.
This study indicates that many VCFs are placed for prophylaxis. A low percentage of VCFs was retrieved. This may be the practice at many other large university-based hospitals, necessitating strategies for reducing their placement.
近年来，腔静脉滤器（VCF）的使用呈上升趋势。预防性放置VCF已在高危患者中广泛应用。
回顾了一所大学医院在两年期间连续接受VCF放置的患者。
两年内共有244例患者接受了VCF放置。其中，54%的患者因绝对指征放置VCF，14%因相对指征放置，32%用于预防。仅14个（9%）可回收滤器被取出。8例患者发生了VCF放置相关并发症；滤器取出无并发症。仅用于预防的VCF放置中，57%来自创伤与外科重症监护科，18.3%来自介入放射科，5.2%来自血管外科。
本研究表明，许多VCF是为预防而放置的。取出的VCF比例较低。这可能是许多其他大型大学附属医院的做法，因此需要制定减少其放置的策略。
