Initial experience using the rigid forceps technique to remove wall-embedded IVC filters

Journal of Medical Imaging and Radiation Oncology
Allan AveryJohn Harper

Abstract

Severely tilted and embedded inferior vena cava (IVC) filters remain the most challenging IVC filters to remove. Heavy endothelialisation over the filter hook can prevent engagement with standard snare and cone recovery techniques. The rigid forceps technique offers a way to dissect the endothelial cap and reliably retrieve severely tilted and embedded filters. By developing this technique, failed IVC retrieval rates can be significantly reduced and the optimum safety profile offered by temporary filters can be achieved. We present our initial experience with the rigid forceps technique described by Stavropoulos et al. for removing wall-embedded IVC filters. We retrospectively reviewed the medical imaging and patient records of all patients who underwent a rigid forceps filter removal over a 22-month period across two tertiary referral institutions. The rigid forceps technique had a success rate of 85% (11/13) for IVC filter removals. All filters in the series showed evidence of filter tilt and embedding of the filter hook into the IVC wall. Average filter tilt from the Z-axis was 19 degrees (range 8-56). Filters observed in the case study were either Bard G2X (n = 6) or Cook Celect (n = 7). Average filter dwell time was 421 da...Continue Reading

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Citations

Mar 24, 2017·Current Treatment Options in Cardiovascular Medicine·Dania Daye, T Gregory Walker
Mar 28, 2020·Journal of Medical Imaging and Radiation Oncology·Warren Clements
May 15, 2021·Clinical Imaging·Daniel L KirkpatrickPremal S Trivedi
Jun 19, 2021·Expert Review of Hematology·Anil PillaiSanjeeva P Kalva

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