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Comment & Response |

The Inferior Vena Cava Filter—Reply

Vinay Prasad, MD1; Jason Rho, MD2; Adam Cifu, MD3
[+] 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.
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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.

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October 14, 2013
Myra F. Barginear, MD
1Hofstra–North Shore LIJ School of Medicine, Monter Cancer Center of North Shore–LIJ Health Systems, Lake Success, New York
JAMA Intern Med. 2013;173(18):1754. doi:10.1001/jamainternmed.2013.8762.
October 14, 2013
Hiroshi Wada, MD; Junya Ako, MD; Shin-ichi Momomura, MD
1Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Saitama-city, Saitama, Japan
JAMA Intern Med. 2013;173(18):1753. doi:10.1001/jamainternmed.2013.8771.
October 14, 2013
Eric K. Hoffer, MD
1Section of Vascular and Interventional Radiology, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
JAMA Intern Med. 2013;173(18):1753-1754. doi:10.1001/jamainternmed.2013.8774.
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