Venous Thromboembolism in Trauma: The Role of Anticoagulation and Inferior Vena Cava Filters

Nicholas Xiao; Kush R. Desai

doi:10.1055/s-0041-1724013

Venous Thromboembolism in Trauma: The Role of Anticoagulation and Inferior Vena Cava Filters

Nicholas Xiao, Kush R. Desai^*

^*Corresponding author for this work

Radiology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Venous thromboembolism (VTE) is a significant contributor to morbidity and mortality among patients with severe trauma. Historically, prophylactic inferior vena cava filters (IVCFs) were used in high-risk trauma patients with suspected risk factors for VTE, including prolonged immobilization, and concurrent contraindication to anticoagulation. Mounting data regarding the efficacy of IVCF in this cohort, as well as concerns regarding morbidity of an in situ IVCF, have challenged this practice paradigm. In this review, we discuss the comanagement of VTE and trauma, including anticoagulation and the use of IVCF.

Original language	English (US)
Pages (from-to)	40-44
Number of pages	5
Journal	Seminars in Interventional Radiology
Volume	38
Issue number	1
DOIs	https://doi.org/10.1055/s-0041-1724013
State	Published - Mar 1 2021

Keywords

anticoagulation
deep vein thrombosis
hemorrhage
inferior vena cava filters
interventional radiology
pulmonary embolism
trauma
venous thromboembolism

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Radiology Nuclear Medicine and imaging

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abstract = "Venous thromboembolism (VTE) is a significant contributor to morbidity and mortality among patients with severe trauma. Historically, prophylactic inferior vena cava filters (IVCFs) were used in high-risk trauma patients with suspected risk factors for VTE, including prolonged immobilization, and concurrent contraindication to anticoagulation. Mounting data regarding the efficacy of IVCF in this cohort, as well as concerns regarding morbidity of an in situ IVCF, have challenged this practice paradigm. In this review, we discuss the comanagement of VTE and trauma, including anticoagulation and the use of IVCF.",

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AU - Desai, Kush R.

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AB - Venous thromboembolism (VTE) is a significant contributor to morbidity and mortality among patients with severe trauma. Historically, prophylactic inferior vena cava filters (IVCFs) were used in high-risk trauma patients with suspected risk factors for VTE, including prolonged immobilization, and concurrent contraindication to anticoagulation. Mounting data regarding the efficacy of IVCF in this cohort, as well as concerns regarding morbidity of an in situ IVCF, have challenged this practice paradigm. In this review, we discuss the comanagement of VTE and trauma, including anticoagulation and the use of IVCF.

KW - anticoagulation

KW - deep vein thrombosis

KW - hemorrhage

KW - inferior vena cava filters

KW - interventional radiology

KW - pulmonary embolism

KW - trauma

KW - venous thromboembolism

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Venous Thromboembolism in Trauma: The Role of Anticoagulation and Inferior Vena Cava Filters

Abstract

Keywords

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