Q: In patients undergoing hip surgery and are at increased risk for bleeding, and in whom both mechanical and pharmacologic prophylaxis are contraindicated, placement of an inferior vena cava filter is recommended - True or False?


Answer: False 

According to 2012, the American College of Chest Physicians (ACCP) guidelines  for Venous Thrombotic Embolism (VTE) prevention in orthopedic surgery patients, based on the evidence-based clinical practice, patients undergoing hip surgery and are at increased risk for bleeding, and in whom both mechanical and pharmacologic prophylaxis are contraindicated, placement of a prophylactic inferior vena cava filter is not recommended, as risks of IVC filter is higher than risk of possible Deep venous Thrombosis(DVT).


 Reference: 

Falck-Ytter Y, Francis CW, Johanson NA, Curley C, Dahl OE, Schulman S, et al. Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012 Feb. 141 (2 Suppl):e278S-325S