2013
DOI: 10.1161/circinterventions.113.000665
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Excimer Laser–Assisted Removal of Embedded Inferior Vena Cava Filters

Abstract: Background-Although chronically implanted inferior vena cava filters may result in filter-related morbidity, there is currently no routine option for removing such filters when they become firmly embedded along the vena cava endothelium. Methods and Results-During a 3-year period, 100 consecutive patients were prospectively enrolled in a single-center study. There were 42 men and 58 women (mean age, 46 years; limits, 18-76 years). Retrieval indications included filterrelated acute inferior vena cava thrombosis… Show more

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Cited by 55 publications
(42 citation statements)
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“…The authors suggested that using an intravascular laser to free the filter from the surrounding endothelial and fibrotic tissue could minimize or prevent tearing of the underlying cava, and that this technique might be preferable for IVC filters with extended dwell times. A success rate of 98% was reported using this technique in this single institution prospective study (25).…”
Section: Laser Thermal Dissection For Ivc Filter Retrievalmentioning
confidence: 54%
“…The authors suggested that using an intravascular laser to free the filter from the surrounding endothelial and fibrotic tissue could minimize or prevent tearing of the underlying cava, and that this technique might be preferable for IVC filters with extended dwell times. A success rate of 98% was reported using this technique in this single institution prospective study (25).…”
Section: Laser Thermal Dissection For Ivc Filter Retrievalmentioning
confidence: 54%
“…Kuo et al (9,10) pioneered the use of laser sheaths. Multiple papers describe the use of endobronchial forceps to retrieve filters.…”
Section: Discussionmentioning
confidence: 99%
“…Devices that Figure 11 radiology.rsna.org n Radiology: Volume 276: Number 1-July 2015 are tilted such that the hook is covered by neo-endothelium may be removed by using more advanced techniques such as rigid bronchoscopy forceps (89). When the device elements are firmly adherent to the wall of the IVC, removal can be accomplished using an excimer laser sheath (90). Open-design filters with deeply penetrated legs or arms, including those that penetrated adjacent structures, can be removed safely provided that the filter hook can be engaged (91).…”
Section: Interventional Treatment Of Iliocaval Stenoses and Occlusionsmentioning
confidence: 99%