Inferior vena cava filter placement for pulmonary embolism risk reduction in super morbidly obese undergoing bariatric surgery

Christa M. Trigilio-Black, Chad D. Ringley, Corrigan L McBride, Victor J. Sorensen, Jon S Thompson, G Matthew Longo, Iraklis I Pipinos, Jason M Johanning

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Pulmonary embolism (PE) is a leading cause of mortality after bariatric surgery. We evaluated inferior vena cava (IVC) filter use for PE risk reduction in high-risk super morbidly obese bariatric surgery patients. Methods: IVC filters were inserted according to the patient's risk factors, including immobility, previous deep venous thrombosis (DVT)/PE, venous stasis, and pulmonary compromise. All filters were placed concomitant to bariatric surgery and were placed through a right internal jugular vein access site. We analyzed the prospectively collected data from this cohort and evaluated the incidence of PE and complications. Results: Since April 2003, 41 patients (12 men and 29 women) with a mean age of 47.3 ± 10.0 years and body mass index of 64.2 ± 12 kg/m2 (range 47-105) underwent IVC filter placement. These and all other patients underwent standard DVT/PE risk reduction measures. All IVC filter patients had one or more significant risk factors for thromboembolic events. No instances of PE were documented, although 1 patient experienced DVT, and no immediate or late complications related to filter placement occurred. One patient, with a body mass index of 105 kg/m2, died secondary to rhabdomyolysis after an extended procedure. The average filter placement time was 34.3 ± 9 minutes. Conclusion: IVC filter placement for PE risk reduction is safe and feasible in the super morbidly obese. Our data have shown that the filters can be placed expeditiously and with minimal morbidity concomitant with bariatric surgery. In this limited series, IVC filter placement was associated with no PE. Additional studies are needed to confirm the efficacy of IVC filter placement for PE risk reduction and related mortality in the super morbidly obese.

Original languageEnglish (US)
Pages (from-to)461-464
Number of pages4
JournalSurgery for Obesity and Related Diseases
Volume3
Issue number4
DOIs
StatePublished - Jul 1 2007

Fingerprint

Vena Cava Filters
Bariatric Surgery
Risk Reduction Behavior
Pulmonary Embolism
Venous Thrombosis
Body Mass Index
Rhabdomyolysis
Mortality
Jugular Veins
Morbidity
Lung

Keywords

  • Bariatric surgery
  • Inferior vena cava filter
  • Pulmonary embolism
  • Super morbid obesity

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Inferior vena cava filter placement for pulmonary embolism risk reduction in super morbidly obese undergoing bariatric surgery",
abstract = "Background: Pulmonary embolism (PE) is a leading cause of mortality after bariatric surgery. We evaluated inferior vena cava (IVC) filter use for PE risk reduction in high-risk super morbidly obese bariatric surgery patients. Methods: IVC filters were inserted according to the patient's risk factors, including immobility, previous deep venous thrombosis (DVT)/PE, venous stasis, and pulmonary compromise. All filters were placed concomitant to bariatric surgery and were placed through a right internal jugular vein access site. We analyzed the prospectively collected data from this cohort and evaluated the incidence of PE and complications. Results: Since April 2003, 41 patients (12 men and 29 women) with a mean age of 47.3 ± 10.0 years and body mass index of 64.2 ± 12 kg/m2 (range 47-105) underwent IVC filter placement. These and all other patients underwent standard DVT/PE risk reduction measures. All IVC filter patients had one or more significant risk factors for thromboembolic events. No instances of PE were documented, although 1 patient experienced DVT, and no immediate or late complications related to filter placement occurred. One patient, with a body mass index of 105 kg/m2, died secondary to rhabdomyolysis after an extended procedure. The average filter placement time was 34.3 ± 9 minutes. Conclusion: IVC filter placement for PE risk reduction is safe and feasible in the super morbidly obese. Our data have shown that the filters can be placed expeditiously and with minimal morbidity concomitant with bariatric surgery. In this limited series, IVC filter placement was associated with no PE. Additional studies are needed to confirm the efficacy of IVC filter placement for PE risk reduction and related mortality in the super morbidly obese.",
keywords = "Bariatric surgery, Inferior vena cava filter, Pulmonary embolism, Super morbid obesity",
author = "Trigilio-Black, {Christa M.} and Ringley, {Chad D.} and McBride, {Corrigan L} and Sorensen, {Victor J.} and Thompson, {Jon S} and Longo, {G Matthew} and Pipinos, {Iraklis I} and Johanning, {Jason M}",
year = "2007",
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language = "English (US)",
volume = "3",
pages = "461--464",
journal = "Surgery for Obesity and Related Diseases",
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TY - JOUR

T1 - Inferior vena cava filter placement for pulmonary embolism risk reduction in super morbidly obese undergoing bariatric surgery

AU - Trigilio-Black, Christa M.

AU - Ringley, Chad D.

AU - McBride, Corrigan L

AU - Sorensen, Victor J.

AU - Thompson, Jon S

AU - Longo, G Matthew

AU - Pipinos, Iraklis I

AU - Johanning, Jason M

PY - 2007/7/1

Y1 - 2007/7/1

N2 - Background: Pulmonary embolism (PE) is a leading cause of mortality after bariatric surgery. We evaluated inferior vena cava (IVC) filter use for PE risk reduction in high-risk super morbidly obese bariatric surgery patients. Methods: IVC filters were inserted according to the patient's risk factors, including immobility, previous deep venous thrombosis (DVT)/PE, venous stasis, and pulmonary compromise. All filters were placed concomitant to bariatric surgery and were placed through a right internal jugular vein access site. We analyzed the prospectively collected data from this cohort and evaluated the incidence of PE and complications. Results: Since April 2003, 41 patients (12 men and 29 women) with a mean age of 47.3 ± 10.0 years and body mass index of 64.2 ± 12 kg/m2 (range 47-105) underwent IVC filter placement. These and all other patients underwent standard DVT/PE risk reduction measures. All IVC filter patients had one or more significant risk factors for thromboembolic events. No instances of PE were documented, although 1 patient experienced DVT, and no immediate or late complications related to filter placement occurred. One patient, with a body mass index of 105 kg/m2, died secondary to rhabdomyolysis after an extended procedure. The average filter placement time was 34.3 ± 9 minutes. Conclusion: IVC filter placement for PE risk reduction is safe and feasible in the super morbidly obese. Our data have shown that the filters can be placed expeditiously and with minimal morbidity concomitant with bariatric surgery. In this limited series, IVC filter placement was associated with no PE. Additional studies are needed to confirm the efficacy of IVC filter placement for PE risk reduction and related mortality in the super morbidly obese.

AB - Background: Pulmonary embolism (PE) is a leading cause of mortality after bariatric surgery. We evaluated inferior vena cava (IVC) filter use for PE risk reduction in high-risk super morbidly obese bariatric surgery patients. Methods: IVC filters were inserted according to the patient's risk factors, including immobility, previous deep venous thrombosis (DVT)/PE, venous stasis, and pulmonary compromise. All filters were placed concomitant to bariatric surgery and were placed through a right internal jugular vein access site. We analyzed the prospectively collected data from this cohort and evaluated the incidence of PE and complications. Results: Since April 2003, 41 patients (12 men and 29 women) with a mean age of 47.3 ± 10.0 years and body mass index of 64.2 ± 12 kg/m2 (range 47-105) underwent IVC filter placement. These and all other patients underwent standard DVT/PE risk reduction measures. All IVC filter patients had one or more significant risk factors for thromboembolic events. No instances of PE were documented, although 1 patient experienced DVT, and no immediate or late complications related to filter placement occurred. One patient, with a body mass index of 105 kg/m2, died secondary to rhabdomyolysis after an extended procedure. The average filter placement time was 34.3 ± 9 minutes. Conclusion: IVC filter placement for PE risk reduction is safe and feasible in the super morbidly obese. Our data have shown that the filters can be placed expeditiously and with minimal morbidity concomitant with bariatric surgery. In this limited series, IVC filter placement was associated with no PE. Additional studies are needed to confirm the efficacy of IVC filter placement for PE risk reduction and related mortality in the super morbidly obese.

KW - Bariatric surgery

KW - Inferior vena cava filter

KW - Pulmonary embolism

KW - Super morbid obesity

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