What is the most frequent indication for inferior vena cava (IVC) filters?

Updated: Oct 31, 2020
  • Author: Gary P Siskin, MD; Chief Editor: Kyung J Cho, MD, FACR, FSIR  more...
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Although the indications for IVC filter placement have expanded over the years, DVT or PE in a patient for whom anticoagulation therapy is contraindicated remains the most frequent indication, accounting for 38-77% of patients undergoing IVC filter placement.

Contraindications to anticoagulation therapy include the following:

  • Hemorrhagic stroke

  • Recent neurosurgical procedures or other major surgery

  • Major or multiple trauma

  • Active internal bleeding (eg, upper or lower gastrointestinal bleeding, hematuria, hemobilia)

  • Intracranial neoplasm

  • Bleeding diathesis (eg, secondary thrombocytopenia, idiopathic thrombocytopenic purpura, hemophilia)

  • Pregnancy

  • Unsteady gait or tendency to fall (as seen in patients with previous stroke, Parkinson disease)

  • Poor patient compliance with medications

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