Review Article

The Clinical Rationale for the Sentry Bioconvertible Inferior Vena Cava Filter for the Prevention of Pulmonary Embolism

Table 3

Selected complications of retrievable IVC filters reported in three systematic reviews and two analyses of the FDA MAUDE database.

ComplicationReports

Filter fracture
Structural failure of the filter leading to fragmentation
Reported in specific systematic reviews
 (i) 0.5% (50/9509 patients) [9]
 (ii) 6 of 14 articles reported fracture rates >10% [7]
Percentage of reported MAUDE complications
 (i) 22.0% (2011) [3]
 (ii) 23.9% (2014) [34]

Filter migration
Movement >2 cm above or below initial placement
Reported in specific systematic reviews
 (i) 1.3% (35/2716 patients) [3]
 (ii) 1.4% (160/11,679) [9]
 (iii) 4 of 14 articles reported migration rates >10% [7]
Percentage of reported MAUDE complications
 (i) 22.0% (2011) [3]
 (ii) 12.1% (2014) [34]

Filter perforation
Penetration of a filter component >3 mm of vena cava wall
Reported in specific systematic reviews
 (i) 5.4% (379/7001 patients) [9]
 (ii) 5 of 14 articles reported perforation rates >20% [7]
Percentage of reported MAUDE complications
 (i) 20% (2011) [3]
 (ii) 15.4% (2014) [34]

Filter tilt
An angulation >15 degrees from the long axis of the vena cava
Reported in specific systematic reviews
 (i) 7.7% (798/10,348) [9]
 (ii) 5 of 14 articles reported tilting rates >10% [7]
Percentage of reported MAUDE complications
 (i) 3.9% (2014) [34]

Deep vein thrombosisReported in specific systematic reviews
 (i) 5.4% (69/1277 patients) [3]
 (ii) 7.1% (362/5092 patients) [9]

IVC thrombosis/stenosisReported in specific systematic reviews
 (i) 2.8% (116/4078 patients), 37 studies [3]
 (ii) 3.9% (345/8788 patients), 103 studies [9]
Percentage of reported MAUDE complications
 (i) 2.3% (2014) [34]

Sources: Systematic reviews: Angel et al. (2010) [3], Deso et al. (2016) [7], Jia et al. (2018) [9]; MAUDE analyses: Andreoli et al. (2014) [34], Angel et al. (2010) [3]