Initial experience in 115 patients with the retrievable Cook Celect vena cava filter

Abstract

SummaryThe aim of this study was to evaluate our experience with the retrievable Cook Celect inferior vena cava (IVC) filter (William Cook, Europe) with regard to insertion, efficiency, ease of retrieval, and any associated complications. A retrospective review was performed of 115 patients (41 female, 74 male, mean age 47.97 years) who underwent Cook Celect IVC filter insertion between December 2005 and October 2007. Filter insertion was successful in all patients. Of the 115 filters inserted, 57 have been successfully retrieved (49.6%) to date. The successful retrieval rate from attempted retrieval was 93.4%. The mean dwell time of successfully retrieved filters was 114.9 days (range 14-267 days). Failed retrievals were due to a thrombosed vena cava (n = 1) and endothelialisation of the filter (n = 3). In the failed retrieval group the mean implantation time was 142 days (range 78-211 days). While this is the first retrospective clinical study on the Cook Celect filter, results to date are promising. We demonstrated an efficacious filter with a high successful retrieval rate of 93.4% and a low complication rate. The filter was assessed with extended dwell times (range 14-267 days). Failed retrieval secondary to hook endothelialisation continues to be an issue with this filter. We recognize that a limitation of our study was the lack of systematic followup for clinically silent complications. Further studies to evaluate longer term outcomes and effectiveness of this filter are warranted.

Management of infected caval filter with simultaneous aortic pseudoaneurysm and retroperitoneal perforation: a case report and literature review

“…In the previously quoted study, the Celect filter was found to have a mean dwell time of 114.9 days (range 14-267 days) in successfully retrieved filters. 20 In our case, the patient's filter had been in place for five months when he became symptomatic, and nine months at the time of surgery.…”

Initial experience using the rigid forceps technique to remove wall‐embedded IVC filters

“…A proportion of retrievable IVC filters cannot be removed by the conventional snare or cone recovery techniques. Two larger Australian studies have shown a filter retrieval success rate of 92–93% . The main factors associated with complicated or unsuccessful retrieval are tilting of the filter, embedding of the filter hook into the wall and prolonged dwell times …”

A design modification to minimize tilting of an inferior vena cava filter does not deliver a clinical benefit

“…[1][2][3][4][5][6] Use of both filters is well described in the literature. [7][8][9][10] Initial studies have analyzed the retrievability of the modified filter and have demonstrated excellent results with reported retrieval rates Ͼ90%, which compares favorably with the older standard model. However, no study has directly compared the clinical performance of the modified vs standard filter.…”