Use of inferior vena cava filters for treatment of VTE: SIR Guideline

• In patients in whom IVC filter removal is planned, we suggest against routine preprocedural imaging of the filter and the use of laboratory studies except in select situations, as outlined in the rationale.

Filter Removal without Standard Snare Techniques

• In patients undergoing filter retrieval whose filter could not be removed by using standard techniques, we suggest attempted removal with advanced techniques, if appropriate and if the expertise is available, after reevaluation of risks and benefits.

Filter Placement Technique

• In patients undergoing IVC filter placement, we cannot recommend for or against any specific placement technique.

“Although the evidence on the use of IVC filters in patients with or at risk of venous thromboembolic disease varies in strength and quality, the panel provides recommendations for the use of IVC filters in a variety of clinical scenarios. Additional research is needed to optimize care for this patient population,” concluded the authors.