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Inferior Vena Cava Filter
What is an Inferior
Vena Cava Filter (IVC) filter?
IVC stands for inferior
vena cava, a major blood vessel that returns blood from
the lower body to the heart. An IVC filter is a small
piece of metal that can be put into the inferior vena
cava to prevent blood clots in the legs from going up to
the lungs.
A blood clot in the leg is
called a deep vein thrombosis (DVT). If the clot goes to
the lung, it's called a pulmonary embolus (PE). A large
PE can be lethal.
Why does an IVC
filter need to be placed?
If you have a DVT, you'll
probably need to take blood-thinning medicine to prevent
the clot from moving. Some people are unable to take
blood thinners because of bleeding problems. Others may
have tried blood thinners, but the medicine may not have
worked properly. These people may need a temporary or
permanent IVC filter to prevent blood clots from going
to the lungs.
There are several types of
IVC filters that are used today. The Greenfield filter
is one of the most familiar names. Some of these filters
are permanent; others are temporary and can be removed
easily.
How is an IVC
filter placed?
An IVC filter is placed by
a doctor known as an interventional radiologist. It's a
minor surgical procedure. Since you are sedated for the
operation, you probably won't remember anything. A
needle goes into a vein in your neck or groin to put a
catheter into your blood vessel. The catheter is
carefully positioned so the IVC filter can be inserted.
By using an x-ray, the doctor can see the filter and
move it to the right place.
How long does the
procedure take?
The procedure usually takes
less than an hour. Most people go home within a day or
two if there aren't any major problems.
What are the
risks?
The procedure is considered
low risk, so major problems are rare. Bleeding and
infection are possible at the incision. The risk of
injury to other organs is very small. Other risks,
including death, are very rare.
If you need an IVC filter,
talk with your doctor about which one is right for you.
Each unique filter design has its own risks and
benefits.

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