Semin intervent Radiol 2021; 38(01): 040-044
DOI: 10.1055/s-0041-1724013
Review Article

Venous Thromboembolism in Trauma: The Role of Anticoagulation and Inferior Vena Cava Filters

Nicholas Xiao
1  Division of Interventional Radiology, Department of Radiology, Northwestern University, Chicago, Illinois
,
Kush R. Desai
1  Division of Interventional Radiology, Department of Radiology, Northwestern University, Chicago, Illinois
› Author Affiliations

Abstract

Venous thromboembolism (VTE) is a significant contributor to morbidity and mortality among patients with severe trauma. Historically, prophylactic inferior vena cava filters (IVCFs) were used in high-risk trauma patients with suspected risk factors for VTE, including prolonged immobilization, and concurrent contraindication to anticoagulation. Mounting data regarding the efficacy of IVCF in this cohort, as well as concerns regarding morbidity of an in situ IVCF, have challenged this practice paradigm. In this review, we discuss the comanagement of VTE and trauma, including anticoagulation and the use of IVCF.



Publication History

Publication Date:
15 April 2021 (online)

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA