Open AccessVenous Thromboembolism in Trauma: The Role of Anticoagulation and Inferior Vena Cava Filters
Author(s) -
Nicholas Xiao,
Kush Desai
Publication year - 2021
Publication title -
seminars in interventional radiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.35
H-Index - 40
eISSN - 1098-8963
pISSN - 0739-9529
DOI - 10.1055/s-0041-1724013
Subject(s) - medicine , contraindication , venous thromboembolism , inferior vena cava , interventional radiology , surgery , thrombosis , alternative medicine , pathology
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.