Retrieval of a Cook Celect inferior vena cava (IVC) filter after prolonged dwell time of 5,117 days: Factors to consider for retrieval of long‐dwell IVC filters

Abstract

Inferior vena cava (IVC) filters are used in certain patients to help prevent the occurrence of pulmonary embolism (PE). IVC filters are generally recommended to be removed once PE prophylaxis is no longer required. Longdwelling IVC filters are associated with higher complication rates (Vasa 2020; 49: 449), being more difficult to retrieve and associated with higher retrieval complications (Cardiovasc Diagn Ther 2016; 6: 632). This report describes the pre-procedural work-up and removal of an IVC filter with a prolonged dwell time of 5,117 days (14 years, 3 days) using the loop snare advanced retrieval technique. As far as the authors are aware this case is the longestdescribed successful retrieval of a Cook Celect IVC filter at 5,117 days.

Retrieval of a Greenfield Inferior Vena Cava Filter Indwelling for 29 Years

“…Other embedded filters with extended durations of over a decade have also been reported. [10][11][12][13] These reports are summarized in Table 1. The design of stabilizers engaging the IVC wall and intimal hyperplasia around the struts of IVC filters are common challenging factors for removal.…”