Abstract:
STUDY OBJECTIVE:With the development of percutaneous inferior vena cava (IVC) filters, IVC interruption has become a widely used procedure in patients with or at risk for venous thromboembolism. In an attempt at clarifying the indications for filter placement, a systematic literature review was undertaken. DESIGN:Bibliographic search and analysis. MEASUREMENTS AND RESULTS:A systematic MEDLINE search about vena cava filters produced a total of 568 references with abstracts between 1975 and 2000 inclusively. Each reference was analyzed according to predetermined criteria. Nearly two thirds (65.0%) of these publications were retrospective studies or case reports (33.3 and 31.7%, respectively), 12.9% were animal or in vitro studies, 7.4% were prospective studies, 6.7% were reviews, and 8.1% reported on miscellaneous related topics. Among the prospective studies, only 16 studies included > or = 100 patients, only 1 study was a randomized controlled trial (0.02% of 568 references), and heterogeneity among series precluded any relevant comparison. In a similar search about heparin and venous thromboembolism, 47.4% of 531 references were randomized controlled trials. CONCLUSIONS:Until more relevant data become available, literature reviews about vena cava filters will remain narrative, and many if not most indications for filter placement will remain a matter of opinion.
journal_name
Chestjournal_title
Chestauthors
Girard P,Stern JB,Parent Fdoi
10.1378/chest.122.3.963subject
Has Abstractpub_date
2002-09-01 00:00:00pages
963-7issue
3eissn
0012-3692issn
1931-3543pii
S0012-3692(16)47195-3journal_volume
122pub_type
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