Question:
Is it possible to have a vena cava {?} filter placed laprascopically?

I'm curious to know this because I'm wheelchair bound permanantly and will be unable to get up and walk around after surgery and I am concerned about blood clots. I'm hoping to have a lap RNY and was wondering if the filter can be used via a lap surgery or do they have to perform that procedure only w/ an open WLS?    — renee617 (posted on April 12, 2001)

April 12, 2001
The placement of a vena caval filter is generally an outpatient procedure performed in a hospital radiology department or vascular lab. The patient is given sedation and a local anesthetic and the filter is placed through one of the large veins in the neck or the groin. Once the filter is placed, it becomes a permanent part of the body and is not considered to be "removable". Like any surgical procedure, filter placement is not without risk and in most cases is only appropriate for patients with an existing history of previous blood clots or for those patients who would be considered at very high risk for developing blood clots. Surgeons who specialize in bariatric surgery are acutely aware that obese patients are automatically in a higher risk category and generally take precautionary measures such as administering blood thinning medications and utilizing compression stockings or "booties" on the legs/feet during hospitalization. Patients are also encouraged to move around in the bed, turn from side to side, and ambulate as quickly and as much as possible. All of these measures are usually very effective in preventing problems with blood clots post-op. Best wishes to you!
   — Diana T.

April 12, 2001
Hi Renee, I was in a very similar way like you.But my Doctor took all the extra measures to prevent any clots. Air Bags on my legs and blood thinner shots to my lower tummy, also I got a little extra time in St. Als. I had surgery a few years ago and they didn't take any of the extra measures and it cost me my heart. Nothing like congestive heart failure to wake you up a bit, so demand all the extra care you think nessary to ensure your safety or stack the deck as much as you can, I am sure your Doctor will if ask go the extra care if not get anoughter Doc. you don't get a second chance. Good luck and may GOD BLESS YOU
   — William C.