Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval

Abstract To reduce inferior vena cava filter (IVCF) related complications, retrieval is recommended whenever possible. Nevertheless, IVCF retrieval rates remain lower than expected, likely due to insufficient follow-up after placement. We evaluated the value of a structured program designed to follo...

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Autores principales:	Salah D. Qanadli, Kiara Rezaei-Kalantari, Laurence Crivelli, Francesco Doenz, Anne-Marie Jouannic, David C. Rotzinger
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f2dd7c02f46c48128f6c071652b6a4d5
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spelling	oai:doaj.org-article:f2dd7c02f46c48128f6c071652b6a4d52021-12-02T14:11:29ZStructured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval10.1038/s41598-021-82767-32045-2322https://doaj.org/article/f2dd7c02f46c48128f6c071652b6a4d52021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82767-3https://doaj.org/toc/2045-2322Abstract To reduce inferior vena cava filter (IVCF) related complications, retrieval is recommended whenever possible. Nevertheless, IVCF retrieval rates remain lower than expected, likely due to insufficient follow-up after placement. We evaluated the value of a structured program designed to follow patients by the interventional radiology team up to 5 months after IVCF placement. We prospectively enrolled 366 consecutive patients (mean age 64 ± 17 years; 201 men and 165 women) who benefited from IVCF between March 2015 and February 2020. The program consisted of advising the patient and clinicians to consider IVCF retrieval as soon as possible (standard workflow) and systematically planning an additional follow-up visit at 5-month. Clinical and technical eligibility, as well as technical success for retrieval (TSR) were evaluated. At 5-months, 38 (10.4%) patients were lost to follow-up, and 47 (12.8%) had died. Among survivors, the overall retrieval rate was 58%. The retrieval rates were 83% and 97% for the clinically eligible and technically eligible patients for retrieval, respectively. The 5-month visit enabled 89 additional retrievals (47.8%) compared to the standard workflow. No significant difference was seen in TSR before and after 5 months (p = 0.95). Improved patient tracking with a dedicated IVCF program results in an effective process to identify suitable patients for retrieval and drastically improves retrieval rates in eligible patients. Involving interventionalists in the process improved IVCF patient management.Salah D. QanadliKiara Rezaei-KalantariLaurence CrivelliFrancesco DoenzAnne-Marie JouannicDavid C. RotzingerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Salah D. Qanadli Kiara Rezaei-Kalantari Laurence Crivelli Francesco Doenz Anne-Marie Jouannic David C. Rotzinger Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval
description	Abstract To reduce inferior vena cava filter (IVCF) related complications, retrieval is recommended whenever possible. Nevertheless, IVCF retrieval rates remain lower than expected, likely due to insufficient follow-up after placement. We evaluated the value of a structured program designed to follow patients by the interventional radiology team up to 5 months after IVCF placement. We prospectively enrolled 366 consecutive patients (mean age 64 ± 17 years; 201 men and 165 women) who benefited from IVCF between March 2015 and February 2020. The program consisted of advising the patient and clinicians to consider IVCF retrieval as soon as possible (standard workflow) and systematically planning an additional follow-up visit at 5-month. Clinical and technical eligibility, as well as technical success for retrieval (TSR) were evaluated. At 5-months, 38 (10.4%) patients were lost to follow-up, and 47 (12.8%) had died. Among survivors, the overall retrieval rate was 58%. The retrieval rates were 83% and 97% for the clinically eligible and technically eligible patients for retrieval, respectively. The 5-month visit enabled 89 additional retrievals (47.8%) compared to the standard workflow. No significant difference was seen in TSR before and after 5 months (p = 0.95). Improved patient tracking with a dedicated IVCF program results in an effective process to identify suitable patients for retrieval and drastically improves retrieval rates in eligible patients. Involving interventionalists in the process improved IVCF patient management.
format	article
author	Salah D. Qanadli Kiara Rezaei-Kalantari Laurence Crivelli Francesco Doenz Anne-Marie Jouannic David C. Rotzinger
author_facet	Salah D. Qanadli Kiara Rezaei-Kalantari Laurence Crivelli Francesco Doenz Anne-Marie Jouannic David C. Rotzinger
author_sort	Salah D. Qanadli
title	Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval
title_short	Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval
title_full	Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval
title_fullStr	Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval
title_full_unstemmed	Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval
title_sort	structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/f2dd7c02f46c48128f6c071652b6a4d5
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Structured team-oriented program to follow patients after vena cava filter placement: a step forward in improving quality for filter retrieval

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