Shahid Muhammad U, Kondoor Vishaal, Nirgudkar Neel, Gantz Owen, Ippolito Paul, Shukla Pratik, Kumar Abhishek
University of Miami Miller School of Medicine, Miami, FL, USA.
Texas Tech University Health Sciences Center, Frisco, TX, USA.
Vasc Endovascular Surg. 2025 Aug;59(6):594-599. doi: 10.1177/15385744251330080. Epub 2025 Mar 25.
PurposeTo determine whether concurrent reporting and follow-up on diagnostic imaging could be used as an effective tool to raise IVC filter (IVCF) awareness in an underserved urban community. For this prospective study, radiologists at our institution flagged plain-film and cross-sectional imaging in which an IVCF was identified from October 2018 to October 2019. For consent, a phone survey was conducted to assess the patient's knowledge and understanding related to IVC filter placement. Key data points on the survey included patients' awareness of filter presence, placement date, location, difference between filters, satisfaction regarding peri-procedural education, and plan for filter removal. Patients desiring further information were scheduled for follow-up in the Vascular Interventional Radiology clinic. 77 patients were identified with an IVC filter. 34 patients (15 males, 19 females; mean age 56y +/- 13.6 years) consented. 23.5% were unaware of their IVC filter. Of those aware, 61.5% were dissatisfied with their consultation/education during placement and 88% pursued further IR consultation indicating a desire to consult a clinician regarding their filter. During the study, 8 patients with IVCF (23.5%) were deemed no longer medically necessary; 6 underwent retrieval and 2 were pending at study conclusion. In underserved urban communities, patients with indwelling IVC filters may not have received appropriate follow-up instructions regarding filter retrieval or may be unaware they have one altogether. Diagnostic imaging is an effective tool to identify these patients, raise awareness, and improve retrieval of filters that are no longer indicated.
确定对诊断性影像学检查结果进行同步报告和随访是否可作为提高服务欠缺城市社区对下腔静脉滤器（IVCF）认识的有效工具。在这项前瞻性研究中，我们机构的放射科医生标记了2018年10月至2019年10月期间识别出IVCF的平片和横断面影像。为了获得同意，进行了电话调查以评估患者对IVCF放置的了解情况。调查的关键数据点包括患者对滤器存在的知晓情况、放置日期、位置、滤器之间的差异、对围手术期教育的满意度以及滤器取出计划。希望获取更多信息的患者被安排到血管介入放射科门诊进行随访。共识别出77例有IVCF的患者。34例患者（15例男性，19例女性；平均年龄56岁±13.6岁）同意参与。23.5%的患者不知道自己体内有IVCF。在知晓的患者中，61.5%对放置过程中的咨询/教育不满意，88%寻求进一步的介入放射学咨询，表明希望就其滤器咨询临床医生。在研究期间，8例有IVCF的患者（23.5%）被认为不再有医学必要性；6例进行了取出，2例在研究结束时仍未处理。在服务欠缺的城市社区，留置IVCF的患者可能未收到关于滤器取出的适当随访指示，或者可能根本不知道自己体内有滤器。诊断性影像学检查是识别这些患者、提高认识并改善对不再需要的滤器进行取出的有效工具。
