Suprarenal Inferior Vena Cava Filter Placement and Retrieval: Safety Analysis.

MedStar author(s):
Citation: Journal of Vascular & Interventional Radiology. 31(2):231-235, 2020 Feb.PMID: 31883935Institution: MedStar Washington Hospital CenterDepartment: RadiologyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Device Removal | *Prosthesis Implantation/is [Instrumentation] | *Vena Cava Filters | *Vena Cava, Inferior/ab [Abnormalities] | Adolescent | Adult | Aged | Aged, 80 and over | Device Removal/ae [Adverse Effects] | Female | Humans | Male | Middle Aged | Prosthesis Design | Prosthesis Implantation/ae [Adverse Effects] | Retrospective Studies | Risk Factors | Time Factors | Treatment Outcome | Vena Cava, Inferior/dg [Diagnostic Imaging] | Young AdultYear: 2020Local holdings: Available online through MWHC library: 2002 - 2006, Available in print through MWHC library: 1999 - 2006ISSN:
  • 1051-0443
Name of journal: Journal of vascular and interventional radiology : JVIRAbstract: CONCLUSIONS: Suprarenal IVC filters, when indicated, can be placed and retrieved with a low complication rate. Copyright (c) 2019 SIR. Published by Elsevier Inc. All rights reserved.MATERIALS AND METHODS: A retrospective chart review of patients who received a retrievable suprarenal IVC filter between January 2008 and December 2017 was conducted. Suprarenal IVC filters were placed in 24 female and 27 male patients. The most common indications for filter placement were IVC thrombus (n = 20; 39.2%) and iliofemoral venous thrombosis with contraindication to anticoagulation (n = 16; 31.3%). The most common indications for suprarenal placement were IVC thrombus (n = 20; 39.2%), anatomic variants (n = 17; 33.3%), and external IVC compression (n = 8; 15.8%). Duplicated IVC was the most common anatomic variant requiring suprarenal placement (n = 7; 13.7%).PURPOSE: To evaluate safety and retrieval success of retrievable suprarenal inferior vena cava (IVC) filters.RESULTS: Gunther Tulip (n = 40; 78.4%), Denali (n = 10; 19.6%), and Celect (n = 1; 2.0%) filters were used. Retrieval was attempted in 27 of the 51 filters placed (52.9%). Of the 27 attempted retrievals, the technical success rate was 100% (27/27). The median dwell time was 87.0 days (95% confidence interval, 28-137 d). One complication involving fractured struts during filter retrieval occurred. No significant change in craniocaudal filter position, lateral filter tilt, or renal function between placement and retrieval was observed (P < .05). There were no instances of indwelling filter fracture.All authors: Angle JF, Baheti A, Patrie J, Sabri SS, Sheeran D, Wilkins LROriginally published: Journal of Vascular & Interventional Radiology. 2019 Dec 26Fiscal year: FY2020Digital Object Identifier: Date added to catalog: 2020-01-31
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 31883935 Available 31883935

Available online through MWHC library: 2002 - 2006, Available in print through MWHC library: 1999 - 2006

CONCLUSIONS: Suprarenal IVC filters, when indicated, can be placed and retrieved with a low complication rate. Copyright (c) 2019 SIR. Published by Elsevier Inc. All rights reserved.

MATERIALS AND METHODS: A retrospective chart review of patients who received a retrievable suprarenal IVC filter between January 2008 and December 2017 was conducted. Suprarenal IVC filters were placed in 24 female and 27 male patients. The most common indications for filter placement were IVC thrombus (n = 20; 39.2%) and iliofemoral venous thrombosis with contraindication to anticoagulation (n = 16; 31.3%). The most common indications for suprarenal placement were IVC thrombus (n = 20; 39.2%), anatomic variants (n = 17; 33.3%), and external IVC compression (n = 8; 15.8%). Duplicated IVC was the most common anatomic variant requiring suprarenal placement (n = 7; 13.7%).

PURPOSE: To evaluate safety and retrieval success of retrievable suprarenal inferior vena cava (IVC) filters.

RESULTS: Gunther Tulip (n = 40; 78.4%), Denali (n = 10; 19.6%), and Celect (n = 1; 2.0%) filters were used. Retrieval was attempted in 27 of the 51 filters placed (52.9%). Of the 27 attempted retrievals, the technical success rate was 100% (27/27). The median dwell time was 87.0 days (95% confidence interval, 28-137 d). One complication involving fractured struts during filter retrieval occurred. No significant change in craniocaudal filter position, lateral filter tilt, or renal function between placement and retrieval was observed (P < .05). There were no instances of indwelling filter fracture.

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