Semin intervent Radiol 2016; 33(02): 105-108
DOI: 10.1055/s-0036-1582122
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Dedicated Inferior Vena Cava Filter Service Line: How to Optimize Your Practice

Jennifer K. Karp
1  Department of Radiology, Section of Interventional Radiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
,
Kush R. Desai
1  Department of Radiology, Section of Interventional Radiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
,
Riad Salem
1  Department of Radiology, Section of Interventional Radiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
,
Robert K. Ryu
2  Department of Radiology, Section of Interventional Radiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado
,
Robert J. Lewandowski
1  Department of Radiology, Section of Interventional Radiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

Publication Date:
10 May 2016 (online)

Abstract

Despite the increased placement of retrievable inferior vena cava filters (rIVCFs), efforts to remove these devices are not commensurate. The majority of rIVCFs are left in place beyond their indicated usage, and often are retained permanently. With a growing understanding of the clinical issues associated with these devices, the United States Food and Drug Administration (FDA) has prompted clinicians to remove rIVCF when they are no longer indicated. However, major obstacles exist to filter retrieval, chief among them being poor clinical follow-up. The establishment of a dedicated IVC filter service line, or clinic, has been shown to improve filter retrieval rates. Usage of particular devices, specifically permanent versus retrievable filters, is enhanced by prospective physician consultation. In this article, the rationale behind a dedicated IVC filter service line is presented as well as described the structure and activities of the authors' IVC filter clinic; supporting data will also be provided when appropriate.