title: Changing patterns in the use of inferior vena cava filters: review of a single center experience.
abstract: BACKGROUND
  The aim of this study was to review a Level I trauma center's pattern of use of IVC filters over a 6-year period.
  
  
  METHODS
  During the years 1999 to 2004, 878 patients underwent placement of an IVC filter at our institution. We reviewed patient charts and collected data pertaining to patient demographics, types of filters, indication for placement, modes of venous access, and complication rates.
  
  
  RESULTS
  Our institution demonstrated an increase in prophylactic filter placement and the use of retrievable IVC filters. There was also an increasing trend in obtaining venous access through the jugular vein during filter placement.
  
  
  CONCLUSIONS
  IVC filters have proved safe and effective in preventing pulmonary embolism when used in a properly selected group of patients. With the introduction of new technology, such as retrievable IVC filters, ongoing efforts must be undertaken to define the indications for placement, duration of therapy, and the suitability of patients for the procedure.
authors: Department of Vascular Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
authors: Faisal
authors: F
authors: Aziz
authors: Kristina
authors: K
authors: Spate
authors: James
authors: J
authors: Wong
authors: John
authors: J
authors: Aruny
authors: Bauer
authors: B
authors: Sumpio
mesh_terms: D000328:Adult; D006801:Humans; D007601:Jugular Veins; D008875:Middle Aged; D011300:Preoperative Care; D011655:Pulmonary Embolism / Q000517:prevention & control; D016306:Vena Cava Filters / Q000639:trends*