Vena Cava Filters: No VTE Benefit in Anticoagulated Patients

Among anticoagulated patients, no benefit of filters was noted in either short-term or long-term analyses.

Placement of a vena cava filter usually is indicated in patients with venous thromboembolism (VTE) who either have contraindications to anticoagulant therapy or have had emboli despite receiving anticoagulants. However, clinicians sometimes consider placing filters in patients with extensive or recurrent thromboses, even when such patients are not intolerant of anticoagulants. These patients often have strong VTE risk factors, such as cancer, advanced age, or immobility. Does placing filters, in addition to administering anticoagulants, improve outcomes?

Investigators at Montefiore Medical Center in New York State reviewed their 8-year experience with VTE treatment. Among 5263 patients with discharge diagnoses of VTE, 1146 received filters, …

Reviewing Author

David Green, MD, PhD

Disclosures

EquityNovartis

David Green, MD, PhD

Disclosures

EquityNovartis