UMEM Educational Pearls

Title: Pulmonary Embolism and IVC Filters

Category: Vascular

Keywords: Pulmonary Embolism, IVC Filter (PubMed Search)

Posted: 9/20/2010 by Rob Rogers, MD (Updated: 11/22/2024)
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Pulmonary Embolism and IVC Filters

Inferior vena cava filters are placed in patients with massive DVT and /or in patients who cannot receive systemic anticoagulation.

The question is, can patients develop pulmonary embolism if a filter is already in place? The answer: yes

How does this happen?:

Clot burden at the site of cava-filter insertion (below the filter). Clots can dislodge at this site and slip through the filter.
Embolization around the IVC filter via retroperitoneal collaterals.