Forceps-assisted Removal of Difficult-to-Retrieve Filters: Preliminary Results

Lian, Weishuai; Tian, Feng; Li, Shaoqin; Gu, Xiaocheng; Jia, Zhongzhi

doi:10.1016/j.avsg.2019.05.045

Cited by 5 publications

(3 citation statements)

References 21 publications

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“…The other minor complication was an asymptomatic IVC pseudoaneurysm (Stavropoulos et al 2015). Trauma to the IVC will occur if the operator inadvertently grasps the caval wall (Daye and Walker 2017) with one series showing imaging evidence of contrast extravasation in 8.3% of bronchial forceps filter removals (Lian et al 2019) (Fig. 1).…”

Section: Procedures Techniquementioning

confidence: 99%

Procedural complications of inferior vena cava filter retrieval, an illustrated review

et al. 2020

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Section: Procedures Techniquementioning

confidence: 99%

Procedural complications of inferior vena cava filter retrieval, an illustrated review

et al. 2020

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“…Among the initial 463 search results, a total of 16 studies met criteria for the present analysis (Fig. 1 ), comprising of 673 and 368 patients who underwent laser- and forceps-assisted IVCF retrieval, respectively (Ahmed et al 2020 ; Al-Hakim et al 2014 ; Anzai et al 20 21; Avery et al 2015 ; Bundy et al 2021 ; Chen et al 2019 ; Desai et al 2020 ; Dowell et al 2016 ; Joe et al 2019 ; Kuo et al 2020 ; Stavropoulos et al 2015 ; Tavri et al 2019 ; von Stempel et al 2019 ; Lian et al 2019 ; Scher et al 2015 ; Posham et al 2017 ) (Table 1 ). Outcomes of laser-assisted retrieval were reported in three studies; forceps-assisted retrieval were reported in twelve studies; only one study reported outcomes of both modalities (Ahmed et al 2020 ).…”

Section: Resultsmentioning

confidence: 99%

Rigid forceps and excimer laser use for complex inferior cava filter retrieval: a preliminary quantitative analysis of available evidence

Tran

Iyer

et al. 2022

CVIR Endovasc

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Purpose The present study aims to evaluate the safety and efficacy of advanced inferior vena cava filter (IVCF) retrieval using laser assistance compared with forceps via systematic review and quantitative aggregation of available data. Methods Pubmed and Embase were queried from establishment to September 2021. Original studies with a sample size ≥ 5 that reported at least one primary outcome of patients who underwent laser- or forceps-assisted IVCF retrieval were included. Primary outcomes included technical success and complication rates. Baseline characteristics were extracted: age, sex, presence of filter thrombus, strut penetration, previous retrieval attempt, filter dwell time, fluoroscopy time, and filter type. Complications were categorized by type and severity. Categorical data was pooled and evaluated with chi-square or Fisher exact tests. Results From the 16 included studies, a total of 673 and 368 patients underwent laser- and forceps-assisted IVCF retrieval, respectively. Successful retrieval was achieved in 98.1 and 93.7% patients from the laser and forceps groups, respectively (p < 0.001). Major complication rates (1.6 vs 2.1%, p = 0.629) and risk of injury to cava or adjacent organs (1.0 vs 1.4%, p = 0.534) were similar between the two groups. A higher proportion of filters from the laser arm were closed-cell design (75.4 vs 68.1%, p = 0.020). Conclusion Based on limited available evidence, forceps- and laser-assisted complex IVCF retrievals were equally safe. The use of laser sheath is associated with a higher retrieval rate than forceps alone, though the baseline characteristics of two cohorts were not controlled. Future large-scale case-controlled comparative studies with longer clinical follow-up are warranted.

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“…Complication risk is significantly higher when advanced techniques other than simple snare removal are required (59,60). Table 3 summarizes the major complication of the IVCF retrieval and their incidence stratified by the technique used (58,(60)(61)(62)(63)(64)(65)(66)(67)(68). Rare cases of cardiac tamponade secondary to filter retrieval has also been reported…”

Section: Complications Of Retrieval Proceduresmentioning

confidence: 99%

Vena Cava Filters: Toward Optimal Strategies for Filter Retrieval and Patients' Follow-Up

Rezaei‐Kalantari

Rotzinger

Qanadli

2022

Front. Cardiovasc. Med.

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Mortality rates associated with venous thromboembolism (VTE) are high. Inferior vena cava filters (IVCFs) have been frequently placed for these patients as part of their treatment, albeit the paucity of data showing their ultimate efficacy and potential risk of complications. Issues regarding long-term filter dwell time are accounted for in society guidelines. This topic has led to an FDA mandate for filter retrieved as soon as protection from pulmonary embolism is no longer needed. However, even though most are retrievable, some were inadvertently left as permanent, which carries an incremental lifetime risk to the patient. In the past decade, attempts have aimed to determine the optimal time interval during which filter needs to be removed. In addition, distinct strategies have been implemented to boost retrieval rates. This review discusses current conflicts in indications, the not uncommon complications, the rationale and need for timely retrieval, and different quality improvement strategies to fulfill this aim.

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Forceps-assisted Removal of Difficult-to-Retrieve Filters: Preliminary Results

Cited by 5 publications

References 21 publications

Procedural complications of inferior vena cava filter retrieval, an illustrated review

Procedural complications of inferior vena cava filter retrieval, an illustrated review

Rigid forceps and excimer laser use for complex inferior cava filter retrieval: a preliminary quantitative analysis of available evidence

Vena Cava Filters: Toward Optimal Strategies for Filter Retrieval and Patients' Follow-Up

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