Three-year experience of prophylactic placement of inferior vena cava filters in women with gynecological cancer
Suresh B Babu,1 Asiya Maheen Khan,2 Philip JB Coates1
1Radiology Department, Derriford Hospital, Plymouth, UK; 2Radiology Department, City Hospital, Birmingham, UK
Objective: To evaluate the outcomes of prophylactic placement of inferior vena cava (IVC) filters to prevent pulmonary embolism (PE) in women undergoing surgery and chemotherapy for gynecological cancer.
Methods and materials: Thirty-eight IVC filters were placed in 38 women between January 2008 and January 2010; 25 of these were placed in gynecological cancer patients for prevention of PE during surgery and the postoperative period. The patients' electronic medical records, follow-up computed tomography scans, and outpatient follow-up notes were retrospectively reviewed for incidence of PE and adverse events.
Results: After 6 months of follow-up, no PE was observed and there was no mortality. Nine filters were retrieved uneventfully, and there were no clinical complications associated with any indwelling filter.
Conclusion: IVC filters are safe and beneficial towards preventing PE in women undergoing surgery and chemotherapy for gynecological cancer.
Keywords: inferior vena cava filter, gynecological cancer, prophylaxis, pulmonary embolism
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