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Preliminary Results of Bedside Inferior Vena Cava Filter Placement : Safe and Cost-Effective

Ronald F. Sing; Charles H. Smith; William S. Miles; W. Joseph Messick
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From the Department of Surgery, Carolinas Medical Center, Charlotte, NC.


1998 by the American College of Chest Physicians


Chest. 1998;114(1):315-316. doi:10.1378/chest.114.1.315
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Abstract

The use of inferior vena cava filters (IVCFs) is increasing in patients at high risk for venous thromboembolism; however, there is considerable controversy related to their cost. We inserted eight percutaneous IVCFs at the bedside. The hospital charges for bedside IVCF insertion were substantially lower compared with those for IVCF insertion performed in the Radiology Department or operating room. There was one death (unrelated to the procedure) and one asymptomatic caval occlusion believed to be caused by thrombus trapping. Bedside IVCF insertion is safe and cost-effective in selected patients. This practice averts the potential complications associated with transporting critically ill patients.


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