Skip to main content
SpringerLink
Log in

Vena Cava Filter Retrieval with Aorto-Iliac Arterial Strut Penetration

  • Clinical Investigation
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the safety and technical success of inferior vena cava (IVC) filter retrieval in the setting of aorto-iliac arterial strut penetration.

Materials and Methods

IVC filter registries from six large United States IVC filter retrieval practices were retrospectively reviewed to identify patients who underwent IVC filter retrieval in the setting of filter strut penetration into the adjacent aorta or iliac artery. Patient demographics, implant duration, indication for placement, IVC filter type, retrieval technique and technical success, adverse events, and post procedural clinical outcomes were identified. Arterial penetration was determined based on pre-procedure CT imaging in all cases. The IVC filter retrieval technique used was at the discretion of the operating physician.

Results

Seventeen patients from six US centers who underwent retrieval of an IVC filter with at least one strut penetrating either the aorta or iliac artery were identified. Retrieval technical success rate was 100% (17/17), without any major adverse events. Post-retrieval follow-up ranging from 10 days to 2 years (mean 4.6 months) was available in 12/17 (71%) patients; no delayed adverse events were encountered.

Conclusions

Findings from this series suggest that chronically indwelling IVC filters with aorto-iliac arterial strut penetration may be safely retrieved.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. 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):1181–5.

    Article  PubMed  Google Scholar 

  2. Jia Z, Wu A, Tam M, Spain J, McKinney JM, Wang W. Caval penetration by inferior vena cava filters: a systematic literature review of clinical significance and management. Circulation. 2015;132(10):944–52.

    Article  PubMed  Google Scholar 

  3. Oh JC, Trerotola SO, Dagli M, Shlansky-Goldberg RD, Soulen MC, Itkin M, et al. Removal of retrievable inferior vena cava filters with computed tomography findings indicating tenting or penetration of the inferior vena cava wall. J Vasc Interv Radiol. 2011;22(1):70–4.

    Article  PubMed  Google Scholar 

  4. Bos A, Van Ha T, van Beek D, Ginsburg M, Zangan S, Navuluri R, et al. Strut penetration: local complications, breakthrough pulmonary embolism, and retrieval failure in patients with Celect vena cava filters. J Vasc Interv Radiol. 2015;26(1):101–6.

    Article  PubMed  Google Scholar 

  5. Becher RD, Corriere MA, Edwards MS, Godshall CJ. Late erosion of a prophylactic Celect IVC filter into the aorta, right renal artery, and duodenal wall. J Vasc Surg. 2010;52(4):1041–4.

    Article  PubMed  Google Scholar 

  6. Caplin DM, Nikolic B, Kalva SP, Ganguli S, Saad WE, Zuckerman DA, et al. Quality improvement guidelines for the performance of inferior vena cava filter placement for the prevention of pulmonary embolism. J Vasc Interv Radiol. 2011;22(11):1499–506.

    PubMed  Google Scholar 

  7. 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):1233–5.

    Article  PubMed  Google Scholar 

  8. 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):1315–8.

    Article  PubMed  Google Scholar 

  9. Stavropoulos SW, Dixon RG, Burke CT, Stavas JM, Shah A, Shlansky-Goldberg RD, et al. Embedded inferior vena cava filter removal: use of endobronchial forceps. J Vasc Interv Radiol. 2008;19(9):1297–301.

    Article  PubMed  Google Scholar 

  10. Kuo WT, Cupp JS. The excimer laser sheath technique for embedded inferior vena cava filter removal. J Vasc Interv Radiol. 2010;21(12):1896–9.

    Article  PubMed  Google Scholar 

  11. Durack JC, Westphalen AC, Kekulawela S, Bhanu SB, Avrin DE, Gordon RL, et al. Perforation of the IVC: rule rather than exception after longer indwelling times for the Gunther Tulip and Celect retrievable filters. Cardiovasc Interv Radiol. 2012;35(2):299–308.

    Article  Google Scholar 

  12. Olorunsola OG, Kohi MP, Fidelman N, Westphalen AC, Kolli PK, Taylor AG, et al. Caval penetration by retrievable inferior vena cava filters: a retrospective comparison of Option and Gunther Tulip filters. J Vasc Interv Radiol. 2013;24(4):566–71.

    Article  PubMed  Google Scholar 

  13. Knavel EM, Woods MA, Kleedehn MG, Ozkan OS, Laeseke PF. Complex inferior vena cava filter retrieval complicated by migration of filter fragment into the aorta and subsequent distal embolization. J Vasc Interv Radiol. 2016;27(12):1865–8.

    Article  PubMed  Google Scholar 

  14. Venturini M, Civilini E, Orsi M, Rinaldi E, Agostini G, Chiesa R, et al. Successful endovascular retrieval of an ALN inferior vena cava filter causing asymptomatic aortic dissection, perforation of the cava wall and duodenum. J Vasc Interv Radiol. 2015;26(4):608–11.

    Article  PubMed  Google Scholar 

  15. Woodward EB, Farber A, Wagner WH, Cossman DV, Cohen JL, Silverman J, Levin PM, Frisch DM. Delayed retroperitoneal arterial hemorrhage after inferior vena cava (IVC). Ann Vasc Surg. 2002;16(2):193–6.

    Article  PubMed  Google Scholar 

  16. Szilagyi D, Smith RF, Elliott JP Jr, Hageman JH. Translumbar aortography: a study of its safety and usefulness. Arch Surg. 1977;112(4):399–408.

    Article  PubMed  CAS  Google Scholar 

  17. Beall ACJ, Henly WS, Morris GCJ, Crawford ES, Cooley DA, DeBakey ME. Translumbar aortography: a simple. Safe Tech Ann Surg. 1963;157(6):882–93.

    Article  CAS  Google Scholar 

  18. Hoppe H, Kaufman JA, Barton RE, Petersen BD, Lakin PC, DeLoughery TG, et al. Safety of inferior vena cava filter retrieval in anticoagulated patients. Chest. 2007;132(1):31–6.

    Article  PubMed  Google Scholar 

  19. Schmelzer TM, Christmas AB, Taylor DA, Heniford BT, Sing RF. Vena cava filter retrieval in therapeutically anticoagulated patients. Am J Surg. 2008;196(6):944–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Radiology and Radiologic Science, Johns Hopkins School of Medicine, 601 N. Caroline Street, Baltimore, MD, 21205, USA

    Brian P. Holly

  2. Department of Radiology, University of Illinois at Chicago, 1740 W. Taylor St., Chicago, IL, 60612, USA

    Ron C. Gaba

  3. Vascular and Interventional Specialists, Charlotte Radiology, 1000 Blythe Blvd., Charlotte, NC, 28203, USA

    Mark L. Lessne

  4. Department of Radiology, Northwestern University Feinberg School of Medicine, 676 N. St. Clair St., Chicago, IL, 60611, USA

    Robert J. Lewandowski & Kush R. Desai

  5. Department Radiology, University of Colorado, Leprino 954, 12401 E. 17th St., Aurora, CO, 80045, USA

    Robert K. Ryu

  6. Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Medical Education Building 6th Floor, 1000 Blythe Boulevard, Charlotte, NC, 28203, USA

    Ronald F. Sing

Authors
  1. Brian P. Holly
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ron C. Gaba
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mark L. Lessne
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Robert J. Lewandowski
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Robert K. Ryu
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kush R. Desai
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Ronald F. Sing
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ronald F. Sing.

Ethics declarations

Conflict of interest

Dr. Holly has no conflicts of interest. Dr. Gaba has received research grant from Guerbet LLC. Dr. Lessne is a paid speaker for Cook Medical and CR Bard. Dr. Lewandowski has no conflicts of interest. Dr. Ryu is a consultant to Spectranetics, B. Braun, and Cook Medical and a member of the Medical Advisory Board at Argon Medical. Dr. Desai is a speaker/consultant for Cook Medical and Boston Scientific and consultant to AngioDynamics and Philips/Spectranetics. Dr. Sing has received research grants from Cook Medical, CR Bard, Bio2Med, and Argon Medical.

Informed Consent

Data were compiled in accordance with the Health Insurance Portability and Accountability Act; however, patients’ permission was not obtained. No individual patient information is identifiable.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Holly, B.P., Gaba, R.C., Lessne, M.L. et al. Vena Cava Filter Retrieval with Aorto-Iliac Arterial Strut Penetration. Cardiovasc Intervent Radiol 41, 1184–1188 (2018). https://doi.org/10.1007/s00270-018-1963-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-018-1963-7

Keywords

Search

Navigation