, Volume 35, Issue 4, pp 975-977
Date: 28 Dec 2011

Balloon-Assisted Retrieval of Tilted OptEase IVC Filter

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The use of inferior vena cava (IVC) filters is well established to prevent pulmonary embolism in patients when anticoagulation is contraindicated or ineffective for treating thromboembolic disease [1]. Long-term presence of IVC filters is associated with a significant increase in the incidence of deep-vein thrombosis and caval occlusion and other less common complications, such as filter migration, fragmentation, or penetration [1, 2]. This explains the preference to use retrievable filters in those patients in whom the protection of the filter is only required temporarily. Whereas the placement of IVC filters is a relatively safe procedure, many retrievable filters become permanent in clinical practice as a result of changes in the patient’s clinical course, lack of follow-up, and the technical inability to retrieve the filter [36]. It is reported in the literature that in only 20–35% of all placed retrievable filters an attempt is made to retrieve the filter [36] and ap