Table 1
Indications for vena cava filter use from professional societies.6,8 DVT/PE: deep vein thrombosis/pulmonary embolism; VTE: venousthromboembolism; IVC: inferior vena cava
| INDICATIONS | AMERICAN HEART ASSOCIATION (2011) | AMERICAN COLLEGE OF CHEST PHYSICIANS (2016) | AMERICAN COLLEGE OF RADIOLOGY/SOCIETY OF INTERVENTIONAL RADIOLOGY (2023) | |
|---|---|---|---|---|
| Classic | Acute proximal DVT/PE with contraindication to anticoagulation | Class I, level C | Grade 1B | Usually appropriate |
| VTE recurrence despite anticoagulation | Class IIa, level C | Usually appropriate | ||
| Propagation/progression of VTE despite anticoagulation or inability to maintain anticoagulation | Usually appropriate | |||
| Expanded | Massive PE with residual DVT in high-risk patients | Class IIb, level C | May be appropriate | |
| Free-floating iliofemoral or IVC thrombus | May be appropriate | |||
| Severe cardiopulmonary disease/poor reserve and DVT or PE | Class IIb, level C | May be appropriate | ||
| Prophylactic | Prophylactic placement in high-risk trauma patients who cannot be anticoagulated | May be appropriate | ||
Table 2
Commonly used inferior vena cava (IVC) filters in the United States.
| FILTER | COMPANY | FEATURES |
|---|---|---|
| Greenfield filters | Boston Scientific | Long-term patency, low risk of thrombosis, 12F delivery system |
| Bard G2 filter | Bard Peripheral Vascular, Inc. | High technical success, longer indwelling time, but higher rates of fracture and migration |
| Cook Gunther Tulip | Cook Medical | One of the first IVC filters approved by the U.S. Food and Drug Administration for retrieval |
| Cook Celect | Cook Medical | Newer version of Cook Gunther Tulip, designed to reduce tilt and fluoroscopy time |
| OptEase Filter | Cordis | Unique hexagonal design and caudal hook that allows for retrieval via femoral approach |
| Argon Option Filter | Argon Medical Devices | Smallest on the market with a 5F delivery system |