The Value of Rotational Venography Versus Anterior–Posterior Venography in 100 Consecutive IVC Filter Retrievals

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

doi:10.1007/s00270-015-1183-3

Cited by 10 publications

(5 citation statements)

References 22 publications

(42 reference statements)

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“…Briefly, spot magnification radiographs were obtained of all filters to evaluate for fracture (Fig 3a). After obtaining right internal jugular vein access for Günther Tulip and Option removals or femoral vein access for OptEase retrievals, rotational venography was performed using a flush catheter and half-strength contrast material (iopamidol [ISOVUE-M 300; Bracco Diagnostics, Monroe Township, New Jersey]) with an injection rate of 15 mL/s for 6 seconds and a 2 second x-ray delay to evaluate for tip embedding (Fig 3b) (21). A snare was used for the first eight tip-centered filters (Fig 3c), whereas 3-mm endobronchial forceps (4162; LYMOL Medical) was used immediately with tip-adherent and tip-embedded filters.…”

Section: Methodsmentioning

confidence: 99%

A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling “Closed Cell” Inferior Vena Cava Filter Designs

Stavropoulos

Shin

Shlansky-Goldberg

et al. 2016

Journal of Vascular and Interventional Radiology

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Section: Methodsmentioning

confidence: 99%

A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling “Closed Cell” Inferior Vena Cava Filter Designs

Stavropoulos

Shin

Shlansky-Goldberg

et al. 2016

Journal of Vascular and Interventional Radiology

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“…According to one study, the location and position of IVC filter limb penetration could be determined using CT scans performed prior to retrieval procedures; 89% of those filters were subsequently retrieved successfully [ 10 ]. By accurately identifying 58 out of 59 tip-embedded filters, rotational venography demonstrated its efficacy in reducing the complexities associated with retrieval methods that are complex in nature [ 14 , 27 ].…”

Section: Reviewmentioning

confidence: 99%

Complications Associated With Inferior Vena Cava Filter Retrieval: A Systematic Review

Rodriguez,

Goel,

Gorantla

2024

Cureus

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Inferior vena cava (IVC) filters have been used successfully in high-risk patients to prevent thromboembolism. The filters are widely created as retrievable devices, but complication rates progressively increase during IVC filter retrieval. This study aims to analyze IVC filter retrieval cases and associated complications during and following the procedures regarding dwell times, specific filter types, filter positioning, and advanced retrieval techniques. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to select and analyze relevant articles. A literature search for articles was performed on September 23, 2023, through three research databases: PubMed, ProQuest, and ScienceDirect. The keywords used to identify relevant publications were “IVC Filter retrieval AND complications” and “IVC filter removal AND complications”. The articles before 2012 were excluded. Relevant articles were selected based on the inclusion and exclusion criteria. In total, 20,435 articles were found: 812 from PubMed, 15,635 from ProQuest, and 3,988 from Science Direct. Among the exclusions were 18,462 articles, which were excluded in the automatic screening process, leaving 1,973 for manual screening. The manual screening of articles was conducted based on title, abstract, article type, duplicates, and case reports, where 1,918 articles were excluded. Ultimately, 55 articles were included in this review. This study demonstrates that IVC filter retrievals have significant complication rates. Many complications have a common theme: prolonged dwell time and lost follow-up appointments. Therefore, importance should be placed on patient education and implementing strict protocols regarding the timelines of IVC filter removals.

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“…Filter removal was performed with a jugular (n = 62) or femoral (n = 1, OptEase) approach. Initially, rotational cavography was performed (16,17) to determine the relationship of the filter and fragment(s) to the wall and to the filter itself. Following careful evaluation, a determination was made to remove either the fragment(s) or the filter first.…”

Section: Vascular and Interventional Radiology: Management Of Fracturmentioning

confidence: 99%

Management of Fractured Inferior Vena Cava Filters: Outcomes by Fragment Location

Trerotola

Stavropoulos

2017

Radiology

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Purpose To inform the management of fractured inferior vena cava filters on the basis of results from a tertiary referral center specializing in complex filter retrieval. Materials and Methods This study had institutional review board approval and was HIPAA compliant. Retrospective analysis of all patients with fractured filters and/or filter fragments evaluated for removal in a complex filter removal program was performed. Removal was attempted when fragments were intravascular or immediately extravascular by using primarily endobronchial forceps for caval fragments and snares for cardiac and pulmonary fragments. Data collected included success rate and complications of filter and fragment removal, symptoms relating to the filter or fragment, techniques used for removal, and follow-up of retained fragments. Results Sixty-five patients (12 men, 53 women) of a total of 222 patients referred for complex retrieval had fractured filters. Of these patients, two had undergone filter removal elsewhere and had retained fragments. All 63 filters were removed successfully with forceps (n = 61), a cone (n = 1), or a snare (n = 1). There were 116 separate filter fragments; removal was attempted for 78 fragments. Removal was successful for 63 (81%) of 78 fragments and varied by location. All extravascular fragments except one were retained. In all, 63 (54%) of 116 fragments were removed percutaneously, rendering 34 (54%) of 63 patients fragment free. Five minor (7.7% [five of 65]) and four major (6.2% [four of 65]) complications occurred. Conclusion Intravascular filter fragments can be removed safely with success rates that vary according to location. Because extravascular fragments are not readily accessible for removal, many patients are not rendered fragment free. RSNA, 2017 Online supplemental material is available for this article.

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The Value of Rotational Venography Versus Anterior–Posterior Venography in 100 Consecutive IVC Filter Retrievals

Abstract: Rotational venograms allow for more accurate detection of tip-embedded IVC filters compared to AP views alone. As this determines the approach taken, rotational venograms are helpful if obtained prior to IVC filter retrieval.

Cited by 10 publications

References 22 publications

A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling “Closed Cell” Inferior Vena Cava Filter Designs

A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling “Closed Cell” Inferior Vena Cava Filter Designs

Complications Associated With Inferior Vena Cava Filter Retrieval: A Systematic Review

Management of Fractured Inferior Vena Cava Filters: Outcomes by Fragment Location

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