Inferior Vena Cava Filters in the Cancer Patient: Current Use and Indications

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Todd M. GetzenFrom the Department of Radiology, Section of Interventional Radiology, and the Departments of Surgery and Radiology, Sections of Vascular Surgery and Interventional Radiology, University of Michigan, Ann Arbor, Michigan.

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John E. RectenwaldFrom the Department of Radiology, Section of Interventional Radiology, and the Departments of Surgery and Radiology, Sections of Vascular Surgery and Interventional Radiology, University of Michigan, Ann Arbor, Michigan.

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Deep venous thrombosis and thromboembolism are significant health risks, with high rates of morbidity and mortality. Chronically ill and hospitalized patients, particularly those with cancer, have a high risk for developing these conditions. Mechanical inferior vena cava (IVC) filtration has been standard care for patients with these conditions in whom anticoagulation therapy is contraindicated or has failed. This article reviews caval filters and the current indications for using mechanical IVC filters, including retrievable versus permanent filters, focusing on their use in treating venous thromboembolism in cancer patients.

Correspondence: John E. Rectenwald, MD, 2210 F Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0325. E-mail: jrectenw@umich.edu
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