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?