List Archives

Wed Jul 1 20:05:26 BST 2009

Though the number of  IVC insertions in our trauma population  is
decreasing overall, there is still a small group of relatively young
trauma patients without pelvic injuries or paralysis who may have a
filter for various reasons due to inability to anticoagulate.

Could anyone share their process or protocols related to the process for
removal of temporary IVCs filters in trauma patients. 

With the use of these filters as either permanent or temporary now, it
becomes an issue as to the optimal time for removal if it is a temporary
filter. It also becomes an issue as to " who" should be tracking these
patients for potential retrieval or for the later decision to make it
permanent , who should be contacting patients to return for retrieval,
monitoring causes of unsuccessful retrievals, and what education does
the family and /or patient need regarding these filters, particularly if
the " temporary filter" is to be or becomes a permanent filter. 

As the long term outcomes of these retrievables are not known, when
should they be removed? 2 week , 2 months, one year or when able to be
fully anticoagulated? 
Thanks for your input. 

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