Routine Removal of Inferior Vena Cava Filters

This clinical decision article discusses the management of an incidentally discovered retrievable inferior vena cava (IVC) filter in a 70-year-old man with multiple comorbidities. The patient has no history of venous thromboembolism (VTE) and is asymptomatic regarding the filter. Two expert opinions are presented: one advocating for routine removal to prevent long-term complications (e.g., thrombosis, fracture, or embolization) and another recommending deferral unless complications arise, citing procedural risks, the patient’s age, and comorbidities. The debate highlights the balance between prophylactic removal and conservative management, referencing guidelines from the Society of Interventional Radiology and the FDA.

This clinical decision article discusses the management of an incidentally discovered retrievable inferior vena cava (IVC) filter in a 70-year-old man with multiple comorbidities. The patient has no history of venous thromboembolism (VTE) and is asymptomatic regarding the filter. Two expert opinions are presented: one advocating for routine removal to prevent long-term complications (e.g., thrombosis, fracture, or embolization) and another recommending deferral unless complications arise, citing procedural risks, the patient’s age, and comorbidities. The debate highlights the balance between prophylactic removal and conservative management, referencing guidelines from the Society of Interventional Radiology and the FDA.