The value of pre-operative rotational venography versus anterior-posterior venography in IVC filter retrieval

Kiefer, Ryan M.; Pandey, Nirnimesh; Trerotola, Scott O.; Stavropoulos, S. William

doi:10.1016/j.jvir.2014.12.176

Cited by 1 publication

(1 citation statement)

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“…Imaging performed prior to IVCF retrieval either with CT venography (CTV) or peri-operative rotational venography ( 21 , 41 , 42 ) helps assess technical filter retrievability and plan the optimal approach and technique for filter removal. Although invasive assessment carries inherent potential risks, it but was proven more accurate in determining if the hook is embedded in the IVC wall, especially when using rotational venography ( 43 , 44 ). An embedded hook is an important finding when planning the approach to IVC filter removal.…”

Section: Criteria For Filter Retrievalmentioning

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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