De Gregorio Miguel A, Guirola Jose A, Sierre Sergio, Urbano Jose, Ciampi-Dopazo Juan Jose, Abadal Jose M, Pulido Juan, Eyheremendy Eduardo, Lonjedo Elena, Guerrero Guadalupe, Serrano-Casorran Carolina, Pardo Pedro, Arrieta Micaela, Rodriguez-Gomez Jose, Bonastre Cristina, Behrens George, Lanciego Carlos, Ferral Hector, Magallanes Mariano, Mendez Santiago, Perez Mercedes, Gonzalez-Nieto Jimena, Kuo William T, Jimenez David
Group GITMI, Minimally Invasive Image Guided Surgery, Interventional Radiology Department, Universidad de Zaragoza, 50009 Zaragoza, Spain.
Department of Hemodynamics and Endovascular Therapeutics, Hospital Universitario Austral, Buenos Aires 1500, Argentina.
J Clin Med. 2021 Dec 24;11(1):77. doi: 10.3390/jcm11010077.
to present an interventional radiology standard of practice on the use of inferior vena cava filters (IVCFs) in patients with or at risk to develop venous thromboembolism (VTE) from the Iberoamerican Interventional Society (SIDI) and Spanish Vascular and Interventional Radiology Society (SERVEI).
a group of twenty-two interventional radiologist experts, from the SIDI and SERVEI societies, attended online meetings to develop a current clinical practice guideline on the proper indication for the placement and retrieval of IVCFs. A broad review was undertaken to determine the participation of interventional radiologists in the current guidelines and a consensus on inferior vena cava filters. Twenty-two experts from both societies worked on a common draft and received a questionnaire where they had to assess, for IVCF placement, the absolute, relative, and prophylactic indications. The experts voted on the different indications and reasoned their decision.
a total of two-hundred-thirty-three articles were reviewed. Interventional radiologists participated in the development of just two of the eight guidelines. The threshold for inclusion was 100% agreement. Three absolute and four relative indications for the IVCF placement were identified. No indications for the prophylactic filter placement reached the threshold.
interventional radiologists are highly involved in the management of IVCFs but have limited participation in the development of multidisciplinary clinical practice guidelines.
提出一份由伊比利亚美洲介入放射学会（SIDI）和西班牙血管与介入放射学会（SERVEI）制定的关于在患有静脉血栓栓塞症（VTE）或有发生VTE风险的患者中使用下腔静脉滤器（IVCF）的介入放射学实践标准。
来自SIDI和SERVEI学会的22名介入放射科专家参加了在线会议，以制定一份关于IVCF放置和取出的适当指征的现行临床实践指南。进行了广泛的综述，以确定介入放射科医生在现行指南中的参与情况以及关于下腔静脉滤器的共识。来自两个学会的22名专家共同制定了一份草案，并收到一份问卷，在问卷中他们必须评估IVCF放置的绝对、相对和预防性指征。专家们对不同的指征进行了投票并阐述了他们的决定。
共审查了233篇文章。介入放射科医生仅参与了八项指南中的两项的制定。纳入阈值为100%的共识。确定了IVCF放置的三项绝对指征和四项相对指征。预防性滤器放置的指征未达到阈值。
介入放射科医生高度参与IVCF的管理，但在多学科临床实践指南的制定中参与有限。
