Subscribe to RSS
IVC Filter Retrieval before and after Implementation of IVC Filter Retrieval Alert System (IFRAS): A Single-Center ExperienceFunding None.
Objective The aim of this study was to evaluate the effectiveness of the IVC filter retrieval alert system (IFRAS) in increasing the inferior vena cava (IVC) filter retrieval rate.
Materials and Methods This study was a case-based retrospective study, for patients who had IVC filter insertion from January 2013 to December 2019 with a sample of 756 patients. The sample was divided into two groups for filter retrieval rate: before the implementation of the tracking system (IFRAS) between 2013 and 2015 with a sample of 321 patients, and after the implementation of the tracking system (IFRAS) between 2016 and 2019 with a sample of 435 patients. This study aimed to compare the IVC filter retrieval rate before and after the implementation of the IFRAS. The tracking system (IFRAS) protocol was applied by a dedicated employee who is actively tracking patients and strictly following them up with a referred physician or interventional radiologist through the interventional radiology clinic.
Results The IVC filter retrieval before the implementation of the tracking system (2013–2015) was 38.3% (123/321), and it became 54.25% (236/435) after the implementation of the tracking system with a p-value less than 0.001. Before implementing the tracking system, patients with no follow-up after IVC filter insertion were 45.17% (145/321), and this decreased to 41.15% (179/435) after implementing the tracking system.
Conclusion The study proved a statistically significant difference in increasing the IVC filter retrieval rate after implementing the IFRAS.
Article published online:
11 April 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
1 http://fyra.io. FDA Updates Safety Communication on IVC Filter Retrieval. Endovascular Today. Published May 6, 2014. Accessed Feb 5, 2023, at: https://evtoday.com/news/fda-updates-safety-communication-on-ivc-filter-retrieval
- 2 Angel LF, Tapson V, Galgon RE, Restrepo MI, Kaufman J. Systematic review of the use of retrievable inferior vena cava filters. J Vasc Interv Radiol 2011; 22 (11) 1522-1530.e3
- 3 Ayad MT, Gillespie DL. Long-term complications of inferior vena cava filters. J Vasc Surg Venous Lymphat Disord 2019; 7 (01) 139-144
- 4 Kaufman JA, Rundback JH, Kee ST. et al. Development of a research agenda for inferior vena cava filters: proceedings from a multidisciplinary research consensus panel. J Vasc Interv Radiol 2009; 20 (06) 697-707
- 5 Caplin DM, Nikolic B, Kalva SP, Ganguli S, Saad WEA, Zuckerman DA. Society of Interventional Radiology Standards of Practice Committee. Quality improvement guidelines for the performance of inferior vena cava filter placement for the prevention of pulmonary embolism. J Vasc Interv Radiol 2011; 22 (11) 1499-1506
- 6 Grewal S, Chamarthy MR, Kalva SP. Complications of inferior vena cava filters. Cardiovasc Diagn Ther 2016; 6 (06) 632-641
- 7 Sutphin PD, Reis SP, McKune A, Ravanzo M, Kalva SP, Pillai AK. Improving inferior vena cava filter retrieval rates with the define, measure, analyze, improve, control methodology. J Vasc Interv Radiol 2015; 26 (04) 491-8.e1
- 8 Lynch FC. A method for following patients with retrievable inferior vena cava filters: results and lessons learned from the first 1,100 patients. J Vasc Interv Radiol 2011; 22 (11) 1507-1512
- 9 Minocha J, Idakoji I, Riaz A. et al. Improving inferior vena cava filter retrieval rates: impact of a dedicated inferior vena cava filter clinic. J Vasc Interv Radiol 2010; 21 (12) 1847-1851
- 10 O'Keeffe T, Thekkumel JJ, Friese S, Shafi S, Josephs SC. A policy of dedicated follow-up improves the rate of removal of retrievable inferior vena cava Filters in trauma patients. Am Surg 2011; 77 (01) 103-108
- 11 Ko SH, Reynolds BR, Nicholas DH. et al. Institutional protocol improves retrievable inferior vena cava filter recovery rate. Surgery 2009; 146 (04) 809-814 , discussion 814–816
- 12 Arabi E, Almusallam G, Alkhathlan A, Alfaiz R, Alzarani Y, Arabi M. How effective is a departmental registry follow-up form for improving retrieval of inferior vena cava filters? A single-center experience. Arab J Intervent Radiol 2018; 2 (02) 71