Preliminary results of bedside inferior vena cava filter placement: safe and cost-effective.
The use of inferior vena cava filters (IVCFs) is increasing in patients at high risk for venous thromboembolism; however, there is considerable controversy related to their cost. We inserted eight percutaneous IVCFs at the bedside. The hospital charges for bedside IVCF insertion were substantially lower compared with those for IVCF insertion performed in the Radiology Department or operating room. There was one death (unrelated to the procedure) and one asymptomatic caval occlusion believed to be caused by thrombus trapping. Bedside IVCF insertion is safe and cost-effective in selected patients. This practice averts the potential complications associated with transporting critically ill patients.
Department of Surgery, Carolinas Medical Center, Charlotte, NC 28203, USA.
R F
RF
Sing
C H
CH
Smith
W S
WS
Miles
W J
WJ
Messick
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D003362:Cost-Benefit Analysis; D016638:Critical Illness; D005260:Female; D017722:Hospital Charges; D006801:Humans; D008297:Male; D008875:Middle Aged; D009873:Operating Rooms / Q000191:economics; D010360:Patient Transfer; D010362:Patients' Rooms; D011872:Radiology Department, Hospital / Q000191:economics; D012449:Safety; D013923:Thromboembolism / Q000517:prevention & control; D013927:Thrombosis / Q000209:etiology; D016306:Vena Cava Filters / Q000191:economics; D014682:Vena Cava, Inferior