Inferior Vena Cava Filters in Pregnancy: A Systematic Review

J Vasc Interv Radiol. 2016 Mar;27(3):354-60.e8. doi: 10.1016/j.jvir.2015.11.024. Epub 2015 Dec 30.

Abstract

During pregnancy, patients have an increased risk of venous thromboembolism (VTE). This is an important cause of maternal mortality. Inferior vena cava (IVC) filters can be used to prevent pulmonary embolism in complicated cases of VTE during pregnancy. The present systematic review includes all patients reported in the literature who had an IVC filter placed during pregnancy. The indications for IVC filters are discussed, along with practical considerations for placement during pregnancy, filter effectiveness, and maternal and fetal mortality and morbidity. IVC filters can be used safely when appropriate during pregnancy, with complication rates similar to those in nonpregnant patients.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / diagnosis
  • Pregnancy Complications, Cardiovascular / therapy*
  • Prosthesis Implantation / adverse effects
  • Prosthesis Implantation / instrumentation*
  • Pulmonary Embolism / diagnosis
  • Pulmonary Embolism / etiology
  • Pulmonary Embolism / prevention & control*
  • Risk Factors
  • Treatment Outcome
  • Vena Cava Filters* / adverse effects
  • Venous Thrombosis / complications
  • Venous Thrombosis / diagnosis
  • Venous Thrombosis / therapy*