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The use of inferior vena cava (IVC) filters has expanded despite the limited evidence demonstrating their benefit for any indication.1,2 Retrievable filters are now widely utilized to minimize complications associated with permanent siting.2 However, IVC filters are often left in situ.3,4 National guidelines of United Kingdom (published in 2012) for the management of venous thromboembolism (VTE) therefore recommended early planning and documentation of IVC filter retrieval, with regular review of the planned approach.4 A subsequent audit of 2012 practice revealed 52 filters were placed at King’s College Hospital, with 14 (27%) subsequently retrieved. Of the remaining patients, there were nine (17%) subsequent deaths, one documented decision for the filter to remain in situ and 32 (62%) patients lost to follow-up. To address this, we planned a single-center multidisciplinary quality improvement project involving interventional radiology and hematology aimed at improving the IVC filter retrieval rate, implemented in February 2015. Internal communications were utilized to raise staff awareness. The interventions included are as follows:

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Automated Inferior Vena Cava Filter Retrieval Requests and Hematology Liaison Improves Retrieval and Reduces the Use of Temporary Inferior Vena Cava Filters