Use of Inferior Vena Cava Filters in the Trauma Setting

Purpose of Review: This review focuses on the usefulness of inferior vena cava (IVC) filters in the setting of trauma by examining the scientific literature on this specific use for IVC filters, as well as in other situations that can be extrapolated to the trauma setting. Recent Findings: Recent research overall has indicated that IVC filters are not as benign as they were once thought to be, and that use of them should be more carefully considered given the risks associated with the device. With regards to using IVC filters in trauma, recently published meta-analysis conclude that the data is inconclusive for using IVC filters in the setting of trauma. New devices such as the Angel catheter may help alleviate the risks associated with IVC filter use. Further data being collected by the ongoing Predicting the Safety and Effectiveness of Inferior Vena Cava Filters (PRESERVE) trial will assist in improving the scientific understanding of the benefits and risks to IVC filters. Summary: Overall, the literature supporting the use of IVC filters in trauma patients is limited; however, there seems to be slight evidence which suggests that these devices are likely beneficial in patients who cannot receive anticoagulation for DVT prophylaxis, but fall into a high-risk trauma category (severe brain or spine injury, long bone injury, or the elderly). © 2017, Springer International Publishing AG.