The role for prophylaxis inferior vena cava filters in patients undergoing bariatric surgery: replacing anecdote with evidence

Ben Shamian, Ronald S Chamberlain
American Surgeon 2012, 78 (12): 1349-61
The number of patients choosing surgical alternatives for weight reduction continues to increase. Despite common thromboembolic preventive methods, which include perioperative subcutaneous heparin injections, early mobilization, and sequential compression devices, postoperative deep vein thrombosis/pulmonary embolism remains a devastating complication after bariatric surgery. The role prophylactic inferior vena cava (IVC) filters may play in bariatric surgery remains controversial, and this article aims to address the risks and benefits of prophylactic IVC filters in high-risk bariatric patients and suggest an evidence-based algorithm for their use.

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