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Comment & Response
October 14, 2013

The Inferior Vena Cava Filter—Reply

Author Affiliations
  • 1Medical Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland
  • 2Department of Medicine, Northwestern University, Chicago, Illinois
  • 3Department of Medicine, University of Chicago, Chicago, Illinois
JAMA Intern Med. 2013;173(18):1754-1755. doi:10.1001/jamainternmed.2013.8719

In Reply We are grateful that our Viewpoint has generated considerable interest, igniting debate regarding the inferior vena cava filter (IVC) filter. In our original article,1 we argue that the IVC filter has no evidence supporting its use. Randomized trials have failed to show improvements in mortality. Instead, IVC filters carry real harms, especially increases in subsequent deep vein thromboses (DVTs), and dubious benefits, reducing instances of pulmonary embolism diagnosed using telephone screening.