Best of the AANS Session-Discussant Prospective Randomized Trial Of Temporary Inferior Vena Cava Filter in Thrombophillic Patients That Had Cranial or Spinal Surgery

Discussant Prospective Randomized Trial Of Temporary Inferior Vena Cava Filter in Thrombophillic Patients That Had Cranial or Spinal Surgery

Video Transcription

Video Summary

In this video, Alan Levy discusses a study titled "Prospective Randomized Trial of Temporary IVC Filter in Thrombophilic Patients that Had Cranial or Spinal Surgery" by Dr. Shapiro and his group. Levy praises the study, highlighting its clear hypothesis and well-outlined methods, which included two randomized groups that were similar in terms of control and treatment. The findings showed significant differences in pulmonary embolism, hemorrhagic complications, and sudden death, all of which were less in the IVC filter-treated group. However, Levy raises questions about the missing data on DVT rates in both groups and the unusually low complication rate in the IVC filter group. He suggests conducting a cost assessment to compare the additional cost of using the IVC filter with the cost burden of complications and deaths in the non-treatment group. Levy concludes by expressing gratitude for the opportunity to discuss the paper and encourages everyone to stay safe.

Keywords

Alan Levy

study

temporary IVC filter

thrombophilic patients

cranial or spinal surgery