Difficult Retrieval of a Recovery IVC Filter

Hagspiel, Klaus D.; Leung, Daniel A.; Aladdin, Mohammed; Spinosa, David J.; Matsumoto, Alan H.; Angle, John F.

doi:10.1097/01.rvi.0000127887.62434.a8

Cited by 33 publications

(14 citation statements)

References 3 publications

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“…Cardiovasc Diagn Ther 2016;6(6):642-650 cdt.amegroups.com loops such as the duodenum, aortic wall penetration, and small-bowel volvulus. Filter migration and spontaneous fracture and embolization of filter components have also been reported (8,10,14,27,28). Nonetheless, before using advanced techniques for IVC filter retrieval, the associated possible complications should always be compared to the potential risks of leaving the filter permanently indwelling, and should be individualized.…”

Section: Complications Of Ivc Filter Retrievalsmentioning

confidence: 99%

“…Stavropoulos et al later concluded that this endobronchial forceps technique could be safely used to successfully remove embedded filters (21,22). In this technique a rigid endobronchial forceps is introduced through a large caliber venous access sheath (14)(15)(16)(17)(18) and is used to dissect the hook of the IVC filter free from the caval wall. The tip or hook of the filter may then be grasped with the forceps so that the access sheath can be advanced over the filter apex in order to collapse the filter and allow subsequent removal using the forceps (Figure 8).…”

Section: Dissection Techniques Endobronchial Forceps Dissection and Rmentioning

confidence: 99%

“…Cardiovasc Diagn Ther 2016;6(6):642-650 cdt.amegroups.com retrieval (14). Tip-deflecting guidewire techniques could avoid an exchange of the retrieval snare and could thereby decrease procedure times.…”

Section: Standard Techniquementioning

confidence: 99%

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Inferior vena cava filter retrievals, standard and novel techniques

Kuyumcu¹,

Walker²

2016

Cardiovasc. Diagn. Ther.

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Abstract:The placement of an inferior vena cava (IVC) filter is a well-established management strategy for patients with venous thromboembolism (VTE) disease in whom anticoagulant therapy is either contraindicated or has failed. IVC filters may also be placed for VTE prophylaxis in certain circumstances.There has been a tremendous growth in placement of retrievable IVC filters in the past decade yet the majority of the devices are not removed. Unretrieved IVC filters have several well-known complications that increase in frequency as the filter dwell time increases. These complications include caval wall penetration, filter fracture or migration, caval thrombosis and an increased risk for lower extremity deep vein thrombosis (DVT). Difficulty is sometimes encountered when attempting to retrieve indwelling filters, mainly because of either abnormal filter positioning or endothelization of filter components that are in contact with the IVC wall, thereby causing the filter to become embedded. The length of time that a filter remains indwelling also impacts the retrieval rate, as increased dwell times are associated with more difficult retrievals. Several techniques for difficult retrievals have been described in the medical literature. These techniques range from modifications of standard retrieval techniques to much more complex interventions. Complications related to complex retrievals are more common than those associated with standard retrieval techniques. The risks of complex filter retrievals should be compared with those of life-long anticoagulation associated with an unretrieved filter, and should be individualized. This article summarizes current techniques for IVC filter retrieval from a clinical point of view, with an emphasis on advanced retrieval techniques.

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Section: Complications Of Ivc Filter Retrievalsmentioning

confidence: 99%

Section: Dissection Techniques Endobronchial Forceps Dissection and Rmentioning

confidence: 99%

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Inferior vena cava filter retrievals, standard and novel techniques

Kuyumcu¹,

Walker²

2016

Cardiovasc. Diagn. Ther.

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“…Filter fractures are less frequent and are reported less than 1% in the literature 6 . A few studies and case reports have been published about prolonged temporary implantation with use of "Recovery IVC Filter (TM) " [1][2][3][4][5]8,9 . The first report about the use of "Recovery IVC Filter (TM) " was from Asch in the year 2002 and he reported an average period of implantation 53 days (5-134 days) in which out of 32 implanted filters, 26 were successfully retrieved.…”

Section: Discussionmentioning

confidence: 99%

Retrieval of "Recovery Ivc Filter(tm)" After 383 Days

Kozák¹,

Köcher²,

Thomas³

et al. 2009

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…The wire is placed adjacent to the tilted filter and used to deflect the apex of the filter into the lumen of the IVC. Conventional snare or cone retrieval commences thereafter [24,70].…”

Section: Loop Snare With Single Accessmentioning

confidence: 99%

Advanced Techniques for Removal of Retrievable Inferior Vena Cava Filters

Iliescu

Haskal

2011

Cardiovasc Intervent Radiol

125

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Inferior vena cava (IVC) filters have proven valuable for the prevention of primary or recurrent pulmonary embolism in selected patients with or at high risk for venous thromboembolic disease. Their use has become commonplace, and the numbers implanted increase annually. During the last 3 years, in the United States, the percentage of annually placed optional filters, i.e., filters than can remain as permanent filters or potentially be retrieved, has consistently exceeded that of permanent filters. In parallel, the complications of long-or short-term filtration have become increasingly evident to physicians, regulatory agencies, and the public. Most filter removals are uneventful, with a high degree of success. When routine filter-retrieval techniques prove unsuccessful, progressively more advanced tools and skill sets must be used to enhance filter-retrieval success. These techniques should be used with caution to avoid damage to the filter or cava during IVC retrieval. This review describes the complex techniques for filter retrieval, including use of additional snares, guidewires, angioplasty balloons, and mechanical and thermal approaches as well as illustrates their specific application.

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Difficult Retrieval of a Recovery IVC Filter

Cited by 33 publications

References 3 publications

Inferior vena cava filter retrievals, standard and novel techniques

Inferior vena cava filter retrievals, standard and novel techniques

Retrieval of "Recovery Ivc Filter(tm)" After 383 Days

Advanced Techniques for Removal of Retrievable Inferior Vena Cava Filters

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