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A total of 58 patients had a retrievable inferior vena cava filter placed as an adjunct to chemical and mechanical prophylaxis, most commonly for a history of previous deep-vein thrombosis or pulmonary embolism, polytrauma, or expected prolonged immobilisation. In total 56 patients (96.6%) had an uncomplicated post-operative course. Two patients (3.4%) died in the peri-operative period for unrelated reasons.<\/jats:p><jats:p>Of the 56 surviving patients, 50 (89%) were available for follow-up. A total of 32 filters (64%) were removed without complication at a mean of 37.8 days (4 to 238) after placement. There were four filters (8%) which were retained because of thrombosis at the filter site, and four (8%) were retained because of incorporation of the filter into the wall of the inferior vena cava. In ten cases (20%) the retrievable filter was left in place to continue as primary prophylaxis. No patient had post-removal thromboembolic complications.<\/jats:p><jats:p>A retrievable inferior vena cava filter, as an adjunct to chemical and mechanical prophylaxis, was a safe and effective means of reducing the acute risk of pulmonary embolism in this high-risk group of patients. Although most filters were removed without complications, thereby avoiding the long-term complications that have plagued permanent indwelling filters, a relatively high percentage of filters had to be left in situ.<\/jats:p>","DOI":"10.1302\/0301-620x.90b5.19743","type":"journal-article","created":{"date-parts":[[2008,4,30]],"date-time":"2008-04-30T21:29:52Z","timestamp":1209590992000},"page":"662-667","source":"Crossref","is-referenced-by-count":22,"title":["The use of retrievable inferior vena cava filters in orthopaedic patients"],"prefix":"10.1302","volume":"90-B","author":[{"given":"E. 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