The Safety of Continuing Therapeutic Anticoagulation During Inferior Vena Cava Filter Retrieval

A 6-Year Retrospective Review from a Tertiary Centre

Rahil H. Kassamali, Kateryna Burlak, Jonathan T.L. Lee, Georgina Aberdein, George Harisis, Gerard S. Goh, Helen Kavnoudias, Warren Clements

Research output: Contribution to journalReview ArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Purpose: Assess the safety of inferior vena cava (IVC) filter retrieval in patients taking anticoagulation, compared to a non-anticoagulated cohort. Materials and Methods: Single-centre retrospective analysis of patients who underwent IVC filter retrieval between January 2012 and February 2018. Information about patient demographics, anticoagulation, tilt, major and minor complications was collected. Major complications were defined as: IVC injury from the filter retrieval, retained fragment of filter, filter fracture and filter embolisation. Minor complications were defined as: neck haematoma and puncture site infection. Results: Total of 357 patients (age 18–95, Male: 231) underwent IVC filter retrieval, comprising of Cook Celect Platinum, Cook Celect, and ALN-branded filters. Of these 182 patients were on anticoagulation and 175 patients were not on anticoagulation, based on the indication for the filter (thrombosis or prophylaxis) and at the discretion of the referring unit who were managing the anticoagulation. IVC filter retrieval was technically successful in 349 patients. Five major complications (1.4% of retrievals) were recorded and no minor complications (0% of retrievals). In the anticoagulation cohort, there were two major complications (1.1% of retrievals) both related to IVC injury. In the non-anticoagulated cohort, there were three major complications (1.7% of retrievals) relating to filter embolisation, IVC injury, and filter fracture. Conclusions: IVC filter retrieval is a safe procedure with a low complication rate. Being on anticoagulation does not increase the risk of a major complication or change the management of major complication compared with a non-anticoagulated cohort. IVC filter retrieval is safe to perform in patients currently taking prophylactic or therapeutic anticoagulation based on our cohort. Level of Evidence: Level 3, retrospective cohort study.

Original languageEnglish
Pages (from-to)1110-1116
Number of pages7
JournalCardioVascular and Interventional Radiology
Volume42
Issue number8
DOIs
Publication statusPublished - Aug 2019

Keywords

  • Anticoagulation
  • Complication
  • Haemorrhage
  • Interventional radiology
  • IVC filter

Cite this

@article{bd73a642b96a4f44af0a37e3e6becb05,
title = "The Safety of Continuing Therapeutic Anticoagulation During Inferior Vena Cava Filter Retrieval: A 6-Year Retrospective Review from a Tertiary Centre",
abstract = "Purpose: Assess the safety of inferior vena cava (IVC) filter retrieval in patients taking anticoagulation, compared to a non-anticoagulated cohort. Materials and Methods: Single-centre retrospective analysis of patients who underwent IVC filter retrieval between January 2012 and February 2018. Information about patient demographics, anticoagulation, tilt, major and minor complications was collected. Major complications were defined as: IVC injury from the filter retrieval, retained fragment of filter, filter fracture and filter embolisation. Minor complications were defined as: neck haematoma and puncture site infection. Results: Total of 357 patients (age 18–95, Male: 231) underwent IVC filter retrieval, comprising of Cook Celect Platinum, Cook Celect, and ALN-branded filters. Of these 182 patients were on anticoagulation and 175 patients were not on anticoagulation, based on the indication for the filter (thrombosis or prophylaxis) and at the discretion of the referring unit who were managing the anticoagulation. IVC filter retrieval was technically successful in 349 patients. Five major complications (1.4{\%} of retrievals) were recorded and no minor complications (0{\%} of retrievals). In the anticoagulation cohort, there were two major complications (1.1{\%} of retrievals) both related to IVC injury. In the non-anticoagulated cohort, there were three major complications (1.7{\%} of retrievals) relating to filter embolisation, IVC injury, and filter fracture. Conclusions: IVC filter retrieval is a safe procedure with a low complication rate. Being on anticoagulation does not increase the risk of a major complication or change the management of major complication compared with a non-anticoagulated cohort. IVC filter retrieval is safe to perform in patients currently taking prophylactic or therapeutic anticoagulation based on our cohort. Level of Evidence: Level 3, retrospective cohort study.",
keywords = "Anticoagulation, Complication, Haemorrhage, Interventional radiology, IVC filter",
author = "Kassamali, {Rahil H.} and Kateryna Burlak and Lee, {Jonathan T.L.} and Georgina Aberdein and George Harisis and Goh, {Gerard S.} and Helen Kavnoudias and Warren Clements",
year = "2019",
month = "8",
doi = "10.1007/s00270-019-02254-1",
language = "English",
volume = "42",
pages = "1110--1116",
journal = "CardioVascular and Interventional Radiology",
issn = "0174-1551",
publisher = "Springer",
number = "8",

}

The Safety of Continuing Therapeutic Anticoagulation During Inferior Vena Cava Filter Retrieval : A 6-Year Retrospective Review from a Tertiary Centre. / Kassamali, Rahil H.; Burlak, Kateryna; Lee, Jonathan T.L.; Aberdein, Georgina; Harisis, George; Goh, Gerard S.; Kavnoudias, Helen; Clements, Warren.

In: CardioVascular and Interventional Radiology, Vol. 42, No. 8, 08.2019, p. 1110-1116.

Research output: Contribution to journalReview ArticleResearchpeer-review

TY - JOUR

T1 - The Safety of Continuing Therapeutic Anticoagulation During Inferior Vena Cava Filter Retrieval

T2 - A 6-Year Retrospective Review from a Tertiary Centre

AU - Kassamali, Rahil H.

AU - Burlak, Kateryna

AU - Lee, Jonathan T.L.

AU - Aberdein, Georgina

AU - Harisis, George

AU - Goh, Gerard S.

AU - Kavnoudias, Helen

AU - Clements, Warren

PY - 2019/8

Y1 - 2019/8

N2 - Purpose: Assess the safety of inferior vena cava (IVC) filter retrieval in patients taking anticoagulation, compared to a non-anticoagulated cohort. Materials and Methods: Single-centre retrospective analysis of patients who underwent IVC filter retrieval between January 2012 and February 2018. Information about patient demographics, anticoagulation, tilt, major and minor complications was collected. Major complications were defined as: IVC injury from the filter retrieval, retained fragment of filter, filter fracture and filter embolisation. Minor complications were defined as: neck haematoma and puncture site infection. Results: Total of 357 patients (age 18–95, Male: 231) underwent IVC filter retrieval, comprising of Cook Celect Platinum, Cook Celect, and ALN-branded filters. Of these 182 patients were on anticoagulation and 175 patients were not on anticoagulation, based on the indication for the filter (thrombosis or prophylaxis) and at the discretion of the referring unit who were managing the anticoagulation. IVC filter retrieval was technically successful in 349 patients. Five major complications (1.4% of retrievals) were recorded and no minor complications (0% of retrievals). In the anticoagulation cohort, there were two major complications (1.1% of retrievals) both related to IVC injury. In the non-anticoagulated cohort, there were three major complications (1.7% of retrievals) relating to filter embolisation, IVC injury, and filter fracture. Conclusions: IVC filter retrieval is a safe procedure with a low complication rate. Being on anticoagulation does not increase the risk of a major complication or change the management of major complication compared with a non-anticoagulated cohort. IVC filter retrieval is safe to perform in patients currently taking prophylactic or therapeutic anticoagulation based on our cohort. Level of Evidence: Level 3, retrospective cohort study.

AB - Purpose: Assess the safety of inferior vena cava (IVC) filter retrieval in patients taking anticoagulation, compared to a non-anticoagulated cohort. Materials and Methods: Single-centre retrospective analysis of patients who underwent IVC filter retrieval between January 2012 and February 2018. Information about patient demographics, anticoagulation, tilt, major and minor complications was collected. Major complications were defined as: IVC injury from the filter retrieval, retained fragment of filter, filter fracture and filter embolisation. Minor complications were defined as: neck haematoma and puncture site infection. Results: Total of 357 patients (age 18–95, Male: 231) underwent IVC filter retrieval, comprising of Cook Celect Platinum, Cook Celect, and ALN-branded filters. Of these 182 patients were on anticoagulation and 175 patients were not on anticoagulation, based on the indication for the filter (thrombosis or prophylaxis) and at the discretion of the referring unit who were managing the anticoagulation. IVC filter retrieval was technically successful in 349 patients. Five major complications (1.4% of retrievals) were recorded and no minor complications (0% of retrievals). In the anticoagulation cohort, there were two major complications (1.1% of retrievals) both related to IVC injury. In the non-anticoagulated cohort, there were three major complications (1.7% of retrievals) relating to filter embolisation, IVC injury, and filter fracture. Conclusions: IVC filter retrieval is a safe procedure with a low complication rate. Being on anticoagulation does not increase the risk of a major complication or change the management of major complication compared with a non-anticoagulated cohort. IVC filter retrieval is safe to perform in patients currently taking prophylactic or therapeutic anticoagulation based on our cohort. Level of Evidence: Level 3, retrospective cohort study.

KW - Anticoagulation

KW - Complication

KW - Haemorrhage

KW - Interventional radiology

KW - IVC filter

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U2 - 10.1007/s00270-019-02254-1

DO - 10.1007/s00270-019-02254-1

M3 - Review Article

VL - 42

SP - 1110

EP - 1116

JO - CardioVascular and Interventional Radiology

JF - CardioVascular and Interventional Radiology

SN - 0174-1551

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