Multi-center review of pediatric IVC filter placement finds high retrieval rate and low breakthrough PE

IVC filters in children are feasible: 250 filters at 12 sites, 99.1% insertion success, breakthrough pulmonary embolism 1.4%, 76% retrieval rate, removal success 88%. Severe removal AEs 6.5%.

• Retrospective multi-institutional review of 250 IVC filters in 242 pediatric patients (1994-2020).
• Common indications: thrombosis (82.8%), pulmonary embolism (34.8%), anticoagulation contraindications/adverse events (45.9%).
• Filter removal was attempted in 76% and successful in 88%; severe removal-related adverse events occurred in 6.5%.

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