Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/27/2025

Management of Venous Thromboembolism with IVC Filters

Indications and Placement

  • The American College of Radiology recommends IVC filter placement and retrieval for deep vein thrombosis and pulmonary embolism prevention in patients with contraindications to anticoagulation 1, 2, 3
  • Indications for IVC filters include patients with contraindications to anticoagulation, as suggested by the American College of Radiology 4, 5

Technical Aspects of Filter Removal

  • The American College of Radiology suggests using advanced techniques for technical aspects of filter removal 1, 2

Imaging Modalities for IVC Assessment

  • The American College of Radiology recommends imaging modalities for IVC assessment, including ultrasound, CT venography, and MR venography 6

VEXUS Protocol

  • The VEXUS protocol, as described in general medical knowledge, assesses venous congestion in critically ill patients by evaluating inferior vena cava diameter and collapsibility, hepatic vein Doppler waveforms, portal vein pulsatility, and intrarenal venous flow patterns 1, 6

REFERENCES

4

Management of Deep Vein Thrombosis with IVC Filter [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

5

Inferior Vena Cava Filters in Venous Thromboembolism Management [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

6

Diagnostic Tests for Evaluating Inferior Vena Cava (IVC) Issues [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025