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IVC Filters vs. Anticoagulation
TherapyLaura Redinger, SDSU, NSLaura Isaacson, SDSU, NS
In cardiac patients, what is the effect of IVC filter compared with
anticoagulant therapy on patient outcomes?
Outline History
The Problem
Scope
Impact on Health
Impact on Delivery of Care
Cost
Recommendations
Basics…. Are IVC filters, with or without anticoagulation medications, more
effective than anticoagulation alone in treatment of DVT?
IVC filter= inferior vena cava filter
Consider indications, risks, benefits
Used for patients with DVTs (or at high risk for) in order to prevent PE
(Billett et al., 2007) 3 groups of patients: Anticoagulants ineffective; Anticoagulants
contraindicated; Prophylaxis following high-risk surgery
(Princewill, 2011) First introduced in 1973 Temporary (4) and permanent (7) versions available
History
The Problem
Scope of the Problem
Impact on Health
Impact on Delivery of Care
Time
Cost IVC filter
IVC filter + anticoagulants
Anticoagulants
Recommendations Educate patient
Indications Benefits Risks
Allow patient to choose preferred treatment
References
Questions?