Laparoscopic Retrieval of a Tilted Inferior Vena Cava Filter

Wang, Haidong; Liu, Jianlong; Jia, Wei; Jiang, Peng; Zhou, Ning; Liu, Zhenhua; Man, Libo

doi:10.4103/0366-6999.228246

Cited by 3 publications

(1 citation statement)

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“…Recently, instead of open surgical methods, some scholars have reported the transperitoneal approach using laparoscopic or robot-assisted laparoscopic techniques for retrieval of partial IVC filters penetrating the anterior wall of the IVC. [19][20][21] Although the transperitoneal laparoscopic technique is more minimally invasive than open surgery, difficulty remains in retrieving penetrating filters in the posterior lateral wall of the IVC.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Laparoscopic-Assisted Retrieval of Wall-Penetrating Inferior Vena Cava Filter After Endovascular Techniques Failed: An Initial Clinical Outcome

Wang

Liu

Zhu

et al. 2021

Vasc Endovascular Surg

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Background: Inferior vena cava (IVC) filters are commonly used in China to prevent pulmonary embolisms in patients with deep vein thrombosis. However, IVC filter removal is complicated when the filter has penetrated the IVC wall and endovascular techniques usually fail. The purpose of this study was to evaluate the effectiveness and safety of retroperitoneal laparoscopic-assisted retrieval of wall-penetrating IVC filters after endovascular techniques have failed. Patients and Methods: We retrospectively evaluated a series of 8 patients who underwent retroperitoneal laparoscopic-assisted retrieval of a wall-penetrating IVC filter between December 2017 and November 2019. All patients had experienced at least 1 failure with endovascular retrieval before the study. The filters were slanted and the proximal retrieval hooks penetrated the posterior lateral IVC wall in all patients on computed tomography. Demographic information, operation parameters, and complications were recorded and analyzed. All patients were followed up for at least 12 months. Results: The procedure was successful in all patients. The median surgery time was 53.6 ± 12.7 min and the average blood loss was 45.0 ± 13.5 ml. No serious complication occurred during the patients’ hospitalization, which was an average of 6.4 days. The median follow-up time was 15.1 months, and no patient had deep vein thrombosis recurrence. Conclusions: Retroperitoneal laparoscopic-assisted retrieval is a feasible and effective technique, particularly when proximal retrieval hooks penetrate the posterior lateral wall of the IVC after endovascular techniques have failed. To some extent, the development of this technique at our institution has increased the success rate of filter removal and improved patient satisfaction.

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Section: Discussionmentioning

confidence: 99%