Respiratory-Induced Haemodynamic Changes: A Contributing Factor to IVC Filter Penetration

Cardiovascular and Interventional Radiology
Alicia LabordaMiguel A De Gregorio

Abstract

The purpose of the study is to evaluate the influence of respiratory-induced vena caval hemodynamic changes on filter migration/penetration. After placement of either a Gunther Tulip or Celect IVC filter, 101 consecutive patients scheduled for filter retrieval were prospectively enrolled in this study. Pre-retrieval CT scans were used to assess filter complications and to calculate cross-sectional area in three locations: at level of filter strut fixation, 3 cm above and 3 cm below. A 3D finite element simulation was constructed on these data and direct IVC pressure was recorded during filter retrieval. Cross-sectional areas and pressures of the vena cava were measured during neutral breathing and in Valsalva maneuver and identified filter complications were recorded. A statistical analysis of these variables was then performed. During Valsalva maneuvers, a 60 % decrease of the IVC cross-sectional area and a fivefold increase in the IVC pressure were identified (p < 0.001). There was a statistically significant difference in the reduction of the cross-sectional area at the filter strut level (p < 0.001) in patient with filter penetration. Difficulty in filter retrieval was higher in penetrated or tilted filters (p < 0.001; p = ...Continue Reading

References

Jul 1, 1996·Abdominal Imaging·C E Ray, J A Kaufman
Sep 25, 1999·Journal of Vascular and Interventional Radiology : JVIR·L J Greenfield, R B Rutherford
Oct 13, 2004·The American Journal of Cardiology·Paul D SteinKiritkumar Patel
Apr 2, 2005·Journal of Vascular and Interventional Radiology : JVIR·Steven F MillwardUNKNOWN Technology Assessment Committee of the Society of Interventional Radiology
Mar 23, 2007·AJR. American Journal of Roentgenology·Pierre-Alexandre PolettiChristoph D Becker
Nov 16, 2007·Journal of Vascular and Interventional Radiology : JVIR·Arifa SadafBadr Al-Mutairi
Nov 26, 2008·Journal of Vascular and Interventional Radiology : JVIR·Jeffrey E Hull, Scott W Robertson
Nov 26, 2010·Journal of Vascular and Interventional Radiology : JVIR·John C OhS William Stavropoulos
Sep 6, 2011·Journal of Vascular and Interventional Radiology : JVIR·Drew M CaplinUNKNOWN Society of Interventional Radiology Standards of Practice Committee
Nov 7, 2012·Vascular and Endovascular Surgery·Christine Kassis, Sanjeeva P Kalva
Nov 28, 2012·Journal of Vascular and Interventional Radiology : JVIR·Thomas B Kinney
Mar 7, 2013·Journal of Vascular and Interventional Radiology : JVIR·Olufoladare G OlorunsolaRobert K Kerlan
Mar 16, 2013·Vascular·William H WardChristopher D Scibelli
Sep 17, 2013·Journal of Vascular and Interventional Radiology : JVIR·Weiping WangEunice Moon
Nov 20, 2013·Journal of Vascular Surgery·Nikolaos TsekourasAnthony J Comerota
Jan 23, 2014·Thrombosis Research·Jung-Kyu LeeHee Soon Chung
Feb 22, 2014·AJR. American Journal of Roentgenology·Dayong ZhouWeiping Wang
Oct 29, 2014·World Journal of Radiology·Alicia LabordaMiguel Angel De Gregorio

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Citations

Jul 18, 2015·Cardiovascular and Interventional Radiology·Viviane ChalhoubPatricia Yazbeck
Aug 5, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Viviane ChalhoubPatricia Yazbeck
May 24, 2016·Journal of Vascular and Interventional Radiology : JVIR·Aaron S BosThuong G Van Ha
May 9, 2018·International Journal for Numerical Methods in Biomedical Engineering·Alejandra Pérez-Andrés, Estefania Peña
Oct 19, 2017·Cardiovascular and Interventional Radiology·Thomas G TulliusThuong G Van Ha
Mar 11, 2017·Pharmaceutical Biology·Aleksandra TalevskaSlavisa Stankovic
Dec 3, 2016·Biomechanics and Modeling in Mechanobiology·Kenneth I AycockBrent A Craven
Jun 29, 2017·Biomechanics and Modeling in Mechanobiology·Kenneth I AycockBrent A Craven
Nov 10, 2018·Cardiovascular Engineering and Technology·Maureen B GallagherKeefe B Manning
Jun 19, 2021·Expert Review of Hematology·Anil PillaiSanjeeva P Kalva

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