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Invited Commentary
August 2017

The Role of Vena Cava Filters for Injured Patients: Please Don’t Throw the Baby Out With the Bathwater

Author Affiliations
  • 1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 2Departments of Anesthesiology & Critical Care Medicine and Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 3Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, Maryland
  • 4Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
JAMA Surg. 2017;152(8):732-733. doi:10.1001/jamasurg.2017.1052

Prophylactic vena cava filter (VCF) use for pulmonary embolism (PE) prevention remains so controversial that there are opposing guideline recommendations from 2 major national organizations. While the American College of Chest Physicians recommends against VCF use, the Eastern Association for the Surgery of Trauma suggests they have some utility. These differing clinical opinions cause wide variation in VCF use.1