Evidence map›Paper›PMID 39623172›Full record

ArticleSurgical endoscopy2025

IVC filter use in patients with a history of venous thromboembolism undergoing bariatric surgery: a MBSAQIP study.

Brendan Gontarz, Richard Seip, Ilene Staff, Connie Santana, Tara McLaughlin, Dale Bond, Darren Tishler, Pavlos Papasavas

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Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Brendan GontarzDepartment of Surgery, Hartford Hospital, Hartford, CT, 06102, USA.
Richard SeipHartford Hospital Metabolic and Bariatric Surgery Program, 80 Seymour Street, Hartford, CT, 06106, USA.
Ilene StaffHartford Healthcare Research Program, Hartford, CT, 06102, USA.
Connie SantanaHartford Hospital Metabolic and Bariatric Surgery Program, 80 Seymour Street, Hartford, CT, 06106, USA.
Tara McLaughlinDepartment of Surgery, Hartford Hospital, Hartford, CT, 06102, USA.
Dale BondHartford Hospital Metabolic and Bariatric Surgery Program, 80 Seymour Street, Hartford, CT, 06106, USA.
Darren TishlerHartford Hospital Metabolic and Bariatric Surgery Program, 80 Seymour Street, Hartford, CT, 06106, USA.
Pavlos PapasavasHartford Hospital Metabolic and Bariatric Surgery Program, 80 Seymour Street, Hartford, CT, 06106, USA. pavlos.papasavas@hhchealth.org.ORCID 0000-0002-8683-6209

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch on the use of prophylactic inferior vena cave filter (IVCF) placement prior to metabolic and bariatric surgery (MBS) in high risk patients has yielded conflicting results. We evaluated thrombotic events and mortality in patients with a history of venous thromboembolism (VTE) who underwent IVCF placement in anticipation of MBS.

methodsWe queried the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database for all patients undergoing primary sleeve gastrectomy or Roux-en-Y gastric bypass from 2015 to 2019 with a history of VTE. We tabulated yearly IVCF use and compared 30-day rates of deep venous thrombosis (DVT), pulmonary embolism (PE), readmission, mortality, and serious adverse events in patients with and without prophylactic IVCF placement. Multivariate logistic regression was used to assess the relationship between preoperative placement of an IVCF and postoperative outcomes.

resultsOf 754,397 patients undergoing MBS, 16,683 (2.2%) had a prior VTE. Placement of IVCF in anticipation of MBS decreased from 285/2245 (10.4%) in 2015 to 85/3750 (2.2%) in 2019 (p < 0.01). The incidence of PE did not differ significantly between patients with prophylactic IVCF vs. those without (0.1% vs 0.5%, p = 0.13). Postoperative DVT was more common in patients who underwent IVCF placement (1.7% vs. 0.8%, p < 0.01). No significant differences were observed in mortality. Preoperative placement of an IVCF was an independent risk factor for development of a postoperative DVT (OR 2.45; 95% CI 1.39-4.32).

conclusionsThese data do not support a history of VTE as an indication for prophylactic IVCF placement in anticipation of MBS.

Indexed as

Bariatric SurgeryPostoperative ComplicationsPulmonary EmbolismVena Cava FiltersVenous ThromboembolismAdultFemaleHumansMaleMiddle AgedRetrospective StudiesVenous ThrombosisInferior vena cave filterOutcomesRoux-en-Y gastric bypassSleeve gastrectomy

Identifiers

PMID39623172

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.