TY - JOUR
T1 - Embedded Inferior Vena Cava Filter Removal
T2 - Use of Endobronchial Forceps
AU - Stavropoulos, S. William
AU - Dixon, Robert G.
AU - Burke, Charles T.
AU - Stavas, Joseph
AU - Shah, Anand
AU - Shlansky-Goldberg, Richard D.
AU - Trerotola, Scott O.
PY - 2008/9
Y1 - 2008/9
N2 - Purpose: Removing a retrievable inferior vena cava (IVC) filter can be extremely difficult with the use of standard techniques if the filter is tilted and embedded in the wall of the IVC. The use of rigid endobronchial forceps has been described in case reports to remove embedded IVC filters, and the present report describes the use of this technique to remove a series of tip-embedded IVC filters in two separate institutions. Materials and Methods: The medical records were reviewed of 21 consecutive patients at two institutions who underwent attempted IVC filter removal with rigid endobronchial forceps over a 34-month period. The mean age of patients was 32.4 years (range, 14.1-54.1 y). The patients had the following filters: Recovery (n = 6), G2 (n = 10), Günther Tulip (n = 4), and OptEase (n = 1). Results: Rotational or biplane venography was used to confirm that the filters were tilted and embedded in the wall of the IVC in all 21 patients. Rigid endobronchial forceps were used successfully to remove 20 embedded IVC filters in 21 patients. There was one case of failure to remove an embedded suprarenal G2 filter. There were no major complications. Conclusions: Rigid endobronchial forceps may be used as a reliable option for removal of embedded IVC filters.
AB - Purpose: Removing a retrievable inferior vena cava (IVC) filter can be extremely difficult with the use of standard techniques if the filter is tilted and embedded in the wall of the IVC. The use of rigid endobronchial forceps has been described in case reports to remove embedded IVC filters, and the present report describes the use of this technique to remove a series of tip-embedded IVC filters in two separate institutions. Materials and Methods: The medical records were reviewed of 21 consecutive patients at two institutions who underwent attempted IVC filter removal with rigid endobronchial forceps over a 34-month period. The mean age of patients was 32.4 years (range, 14.1-54.1 y). The patients had the following filters: Recovery (n = 6), G2 (n = 10), Günther Tulip (n = 4), and OptEase (n = 1). Results: Rotational or biplane venography was used to confirm that the filters were tilted and embedded in the wall of the IVC in all 21 patients. Rigid endobronchial forceps were used successfully to remove 20 embedded IVC filters in 21 patients. There was one case of failure to remove an embedded suprarenal G2 filter. There were no major complications. Conclusions: Rigid endobronchial forceps may be used as a reliable option for removal of embedded IVC filters.
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U2 - 10.1016/j.jvir.2008.04.012
DO - 10.1016/j.jvir.2008.04.012
M3 - Article
C2 - 18725092
AN - SCOPUS:49749098880
VL - 19
SP - 1297
EP - 1301
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
SN - 1051-0443
IS - 9
ER -