Department of Internal Medicine, Angiology Unit, Ospedale dell'Angelo, Via Paccagnella 11, 30174, Mestre (VE), Italy.
Department of Cardiology, Ospedale dell'Angelo, Mestre (VE), Italy.
Intern Emerg Med. 2018 Mar;13(2):145-154. doi: 10.1007/s11739-016-1575-7. Epub 2016 Nov 21.
The use of inferior vena cava filters to prevent pulmonary embolism is increasing mainly because of indications that appear to be unclearly codified and recommended. The evidence supporting this approach is often heterogeneous, and mainly based on observational studies and consensus opinions, while the insertion of an IVC filter exposes patients to the risk of complications and increases health care costs. Thus, several proposed indications for an IVC filter placement remain controversial. We attempt to review the proof on the efficacy and safety of IVC filters in several "special" clinical settings, and assess the robustness of the available evidence for any specific indication to place an IVC filter.
下腔静脉滤器的使用主要是因为出现了一些似乎尚未明确规定和推荐的适应证而增加。支持这种方法的证据往往具有异质性，主要基于观察性研究和共识意见，而 IVC 滤器的插入会使患者面临并发症的风险，并增加医疗保健成本。因此，一些建议的 IVC 滤器放置适应证仍存在争议。我们试图回顾 IVC 滤器在几种“特殊”临床情况下的疗效和安全性的证据，并评估任何特定适应证放置 IVC 滤器的现有证据的稳健性。
