Indwelling and Retrieval Complications of Denali and Celect Infrarenal Vena Cava Filters

Bos, Aaron; Tullius, Thomas G.; Patel, Mikin V.; Leef, Jeffrey A.; Navuluri, Rakesh; Lorenz, Jonathan M.; Ha, Thuong G. Van

doi:10.1016/j.jvir.2016.03.034

Cited by 18 publications

(13 citation statements)

References 21 publications

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“…Blood FDP and D-Dimer and fibrinogen levels can be used as an indicator of the rapid progression of blood coagulation and fibrinolysis (7). It has recently been indicated that early diagnosis and appropriate treatment can aid in the prevention of these potentially life threatening complications (8). The current study reports a case of ovarian vein and inferior vena cava thrombosis that was effectively treated with no further requirement for interventional procedures.…”

Section: Introductionmentioning

confidence: 84%

Early diagnosis and precision treatment of right ovarian vein and inferior vena cava thrombosis following caesarean section: A case report

Cao¹,

Ni²,

Wang³

et al. 2020

Exp Ther Med

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Ovarian vein thrombosis (OVT) is a rare medical complication that is most often diagnosed in the post-partum period. OVT can lead to conditions, including sepsis, inferior vena cava (IVC), pulmonary emboli and mortality. The current study outlines a case of a patient who experienced pain in the lower abdomen and waist without fever postpartum following caesarean section (CS). Plasma FDP, D-Dimer and fibrinogen levels were markedly increased following CS and this was an indicator of the rapid progression of blood coagulation and fibrinolysis. Increased maternal lipid may be one of the risk factors for thrombosis. Based on the clinical presentation, a CT scan demonstrated thrombosis of the right ovarian vein and inferior vena cava, and a diagnosis of OVT and IVC thrombosis was subsequently made. In the current case, an anticoagulant therapy was started with a subcutaneous injection low molecular weight heparin calcium, an intravenous urokinase drip as a thrombolytic agent and implantation of inferior vena cava filters as a novel method of treatment for thrombosis. The patient was discharged from hospital 20 days following treatment in a good condition. The current study reports a case of OVT associated with IVC that was successfully managed without complication.

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Section: Introductionmentioning

confidence: 84%

Early diagnosis and precision treatment of right ovarian vein and inferior vena cava thrombosis following caesarean section: A case report

Cao¹,

Ni²,

Wang³

et al. 2020

Exp Ther Med

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show abstract

“…25 Furthermore, increasingly there have been reports and awareness in both the medical and lay literature of complications related to IVC filters. [26][27][28][29][30] This has also been recognized by FDA that tracks such complications through its Manufacturer and User Device Experience database. 31 The exact rate of complications from IVC filters is low but difficult to quantify as the majority are silent, occur distant to the insertion time, or present incidentally on imaging.…”

Section: Inferior Vena Cava Filter Retrieval Evidence For Removalmentioning

confidence: 97%

Inferior Vena Cava Filters: When to Place and When to Remove

Moriarty

Steinberger

2017

Semin Respir Crit Care Med

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Pulmonary embolism (PE) is a common and feared result of deep vein thrombosis. While anticoagulation is the mainstay of management, interruption of flow of thrombus from leg veins to the pulmonary circulation is frequently desired either in lieu of or in addition to anticoagulation. Inferior vena cava filters have become frequently used to prevent PE despite a paucity of evidence for efficacy and increasing concerns about the long-term complications of indwelling filters.

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“…1 The rate of such complications may vary depending on the IVC filter manufacturer. [1][2][3][4] Previously published data from our group demonstrated a 10% filter penetration rate for the Option filter, the precursor to the Option-ELITE (Argon Medical Devices Inc.). 3 The Denali filter is a redesign of the Eclipse filter (Bard Peripheral Vascular) that demonstrated low filter complication rates in its original prospective clinical trial; however, follow-up studies have been limited.…”

Section: Introductionmentioning

confidence: 99%

Complications of Retrievable Inferior Vena Cava Filters: A Retrospective Comparison of Denali and Option-ELITE Filters

Hightower

Richard

Lehrman

et al. 2018

J Clin Interv Radiol ISVIR

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Purpose To compare the complication rate of the Denali and Option-ELITE inferior vena cava (IVC) filters. Materials and Methods All patients who had a Denali or Option-ELITE IVC filter placed between March 2014 and March 2016 were retrospectively identified from the electronic medical records. Of the 245 IVC filters placed, the positions of 93 devices (21 Denali and 72 Option-ELITE) were documented on follow-up computed tomography (CT) examinations obtained for reasons unrelated to filter placement. In situations where multiple CT studies were obtained after placement, each study was reviewed, for a total of 200 examinations. Images were assessed for filter complication including caval wall penetration by filter components, associated damage to pericaval tissues, filter tilt, migration, and fracture. Results Penetration of at least one strut was observed in 13% of all filters imaged by CT, (Denali: 14%; Option-ELITE: 13%; p = 1.00). No patients had damage to pericaval tissues or documented symptoms attributed to penetration. Neither the Denali nor the Option-ELITE filters demonstrated significant tilt (> 15 degrees of tilt), migration, or fracture. Compared with Denali; the Option-ELITE filter demonstrated an increasing strut penetration rate with longer indwell times (z = –3.67, p < 0.01). Conclusions No significant difference was observed between the rates of caval penetration of the Denali and Option-ELITE IVC filters assessed by CT. Additionally, no findings of filter fracture or migration were noted, suggesting that the Denali filter is non-inferior to the Option-ELITE filter with respect to penetration, fracture, tilt, and migration. The Option-ELITE filter demonstrated a time-dependent tendency toward greater strut penetration with longer indwell times.

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Indwelling and Retrieval Complications of Denali and Celect Infrarenal Vena Cava Filters

Cited by 18 publications

References 21 publications

Early diagnosis and precision treatment of right ovarian vein and inferior vena cava thrombosis following caesarean section: A case report

Early diagnosis and precision treatment of right ovarian vein and inferior vena cava thrombosis following caesarean section: A case report

Inferior Vena Cava Filters: When to Place and When to Remove

Complications of Retrievable Inferior Vena Cava Filters: A Retrospective Comparison of Denali and Option-ELITE Filters

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