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Tiwari A et al. – More than half (54.2%) of temporary/optional filters were not removed and with potential for long–term complications. A protocol has now being instituted for vascular surgeons to authorize the insertion of filters and to then be responsible for ensuring their removal.

Exclusive Author Commentary
Professor John P. Fletcher, 11/14/09

Our experience of less than half of temporary / optional inferior vena cava (IVC) filters being removed (which is similar to the experience of others) emphasises the importance of adhering to strict criteria for their insertion and protocol for removal. It is undesirable for an IVC filter to remain long-term, especially in a younger patient, with the inherent risk of filter complications, if the initial indication for insertion was tenuous.

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