Owen N. Johnson, MD, David L

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The use of retrievable inferior vena cava filters in severely injured military trauma patients Owen N. Johnson, MD, David L. Gillespie, MD, Gilbert Aidinian, MD, Paul W. White, MD, Eric Adams, MD, Charles J. Fox, MD Journal of Vascular Surgery Volume 49, Issue 2, Pages 410-416 (February 2009) DOI: 10.1016/j.jvs.2008.09.004 Copyright © 2009 Terms and Conditions

Fig 1 Institutional algorithm used as a referral guideline to help determine which military casualties should be evaluated for possible IVCF insertion. VTE, venous thromboembolism; TBI, traumatic brain injury; GCS, Glasgow Coma Scale; LE, lower extremity; AIS, Abbreviated Injury Scale; CT, computed tomography; US, ultrasound; CTPA, computed tomographic pulmonary angiography; CTV, CT venography; IVCF, inferior vena cava filter; ICU, intensive care unit; SQ, subcutaneous; BID, twice a day. Journal of Vascular Surgery 2009 49, 410-416DOI: (10.1016/j.jvs.2008.09.004) Copyright © 2009 Terms and Conditions

Fig 2 A, Caval venography was used to examine for filter-entrapped thrombus, caval stenosis, filter migration (including tilt >14°), strut fracture, or penetration before retrieval. B, Post-pull images ensured no contrast extravasation or other abnormalities after retrieval. Journal of Vascular Surgery 2009 49, 410-416DOI: (10.1016/j.jvs.2008.09.004) Copyright © 2009 Terms and Conditions

Fig 3 Location of inferior vena cava filter insertions for high-risk combat-injured military trauma patients. *Intensive care unit/intravascular ultrasound (ICU/IVUS) refers to critically injured soldiers that required filter placement at the bedside in the intensive care unit under intravascular ultrasound guidance. Journal of Vascular Surgery 2009 49, 410-416DOI: (10.1016/j.jvs.2008.09.004) Copyright © 2009 Terms and Conditions

Fig 4 Anticoagulation patterns in those receiving therapeutic retrievable inferior vena cava filter (IVCF). Preventative dose low molecular-weight heparin (LMWH) is defined as enoxaparin sodium injected subcutaneously dosed at either 30 mg twice a day or 40 mg once a day. Full anticoagulation is defined as treatment with enoxaparin sodium at 1 mg/kg-body-weight twice a day or oral warfarin sodium titrated to International Normalized Ratio (INR) value of 2.0 to 3.0. If a gap occurred, the delay in treatment is expressed in mean ± standard deviation (in days). DVT, deep vein thrombosis; PE, pulmonary embolism. Journal of Vascular Surgery 2009 49, 410-416DOI: (10.1016/j.jvs.2008.09.004) Copyright © 2009 Terms and Conditions