Semin intervent Radiol 2016; 33(02): 144-148
DOI: 10.1055/s-0036-1582119
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Retrieval of Inferior Vena Cava Filters: Technical Considerations

James L. Laws
1   Feinberg School of Medicine, Northwestern University, Chicago, Illinois
,
Robert J. Lewandowski
1   Feinberg School of Medicine, Northwestern University, Chicago, Illinois
,
Robert K. Ryu
2   Anschutz Medical Campus, University of Colorado, Aurora, Colorado
,
Kush R. Desai
1   Feinberg School of Medicine, Northwestern University, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

Publication Date:
10 May 2016 (online)

Abstract

Placement of retrievable inferior vena cava filters has seen rapid growth since their introduction into clinical practice. When retrieved, these devices offer the notional benefit of temporary protection from pulmonary embolism related to lower extremity deep venous thrombosis, and mitigation of filter-related deep venous thrombosis. When promptly removed after the indication for mechanical prophylaxis is no longer present, standard endovascular retrieval techniques are frequently successful. However, the majority of these devices are left in place for extended periods of time, which has been associated with greater device-related complications when left in situ, and failure of standard techniques when retrieval is attempted. The development of advanced retrieval techniques has had a positive impact on retrieval of these embedded devices. In this article, technical considerations in the retrieval of such devices, with an emphasis on advanced techniques to facilitate retrieval of embedded devices, are discussed.

 
  • References

  • 1 Geerts WH, Bergqvist D, Pineo GF , et al. Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008; 133 (6) 381-453
  • 2 Decousus H, Leizorovicz A, Parent F , et al. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prévention du Risque d'Embolie Pulmonaire par Interruption Cave Study Group. N Engl J Med 1998; 338 (7) 409-415
  • 3 Group PS ; PREPIC Study Group. Eight-year follow-up of patients with permanent vena cava filters in the prevention of pulmonary embolism: the PREPIC (Prevention du Risque d'Embolie Pulmonaire par Interruption Cave) randomized study. Circulation 2005; 112 (3) 416-422
  • 4 Smouse B, Johar A. Is market growth of vena cava filters justified?. Endovasc Today 2010; 2010: 74-77
  • 5 Helling TS, Kaswan S, Miller SL, Tretter JF. Practice patterns in the use of retrievable inferior vena cava filters in a trauma population: a single-center experience. J Trauma 2009; 67 (6) 1293-1296
  • 6 Andreoli JM, Lewandowski RJ, Vogelzang RL, Ryu RK. Comparison of complication rates associated with permanent and retrievable inferior vena cava filters: a review of the MAUDE database. J Vasc Interv Radiol 2014; 25 (8) 1181-1185
  • 7 Marquess JS, Burke CT, Beecham AH , et al. Factors associated with failed retrieval of the Günther Tulip inferior vena cava filter. J Vasc Interv Radiol 2008; 19 (9) 1321-1327
  • 8 Health C for D and R. Safety Communications - Removing Retrievable Inferior Vena Cava Filters. Initial Communication [Internet]. Available at: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm221676.htm ; Accessed December 2015
  • 9 Sarosiek S, Crowther M, Sloan JM. Indications, complications, and management of inferior vena cava filters: the experience in 952 patients at an academic hospital with a level I trauma center. JAMA Intern Med 2013; 173 (7) 513-517
  • 10 Minocha J, Idakoji I, Riaz A , et al. Improving inferior vena cava filter retrieval rates: impact of a dedicated inferior vena cava filter clinic. J Vasc Interv Radiol 2010; 21 (12) 1847-1851
  • 11 Geisbüsch P, Benenati JF, Peña CS , et al. Retrievable inferior vena cava filters: factors that affect retrieval success. Cardiovasc Intervent Radiol 2012; 35 (5) 1059-1065
  • 12 Rosenthal D, Wellons ED, Hancock SM, Burkett AB. Retrievability of the Günther Tulip vena cava filter after dwell times longer than 180 days in patients with multiple trauma. J Endovasc Ther 2007; 14 (3) 406-410
  • 13 Al-Hakim R, Kee ST, Olinger K, Lee EW, Moriarty JM, McWilliams JP. Inferior vena cava filter retrieval: effectiveness and complications of routine and advanced techniques. J Vasc Interv Radiol 2014; 25 (6) 933-939 , quiz 940
  • 14 Desai KR, Lewandowski RJ, Salem R , et al. Retrieval of inferior vena cava filters with prolonged dwell time: a single-center experience in 648 retrieval procedures. JAMA Intern Med 2015; 175 (9) 1572-1574
  • 15 Rubenstein L, Chun AK, Chew M, Binkert CA. Loop-snare technique for difficult inferior vena cava filter retrievals. J Vasc Interv Radiol 2007; 18 (10) 1315-1318
  • 16 Esparaz AM, Ryu RK, Gupta R, Resnick SA, Salem R, Lewandowski RJ. Fibrin cap disruption: an adjunctive technique for inferior vena cava filter retrieval. J Vasc Interv Radiol 2012; 23 (9) 1233-1235
  • 17 Stavropoulos SW, Dixon RG, Burke CT , et al. Embedded inferior vena cava filter removal: use of endobronchial forceps. J Vasc Interv Radiol 2008; 19 (9) 1297-1301
  • 18 Avery A, Stephens M, Redmond K, Harper J. Initial experience using the rigid forceps technique to remove wall-embedded IVC filters. J Med Imaging Radiat Oncol 2015; 59 (3) 306-311
  • 19 Kuo WT, Cupp JS. The excimer laser sheath technique for embedded inferior vena cava filter removal. J Vasc Interv Radiol 2010; 21 (12) 1896-1899