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CardioVascular and Interventional Radiology

, Volume 36, Issue 4, pp 1139–1143 | Cite as

Difficult OptEase Filter Retrievals After Prolonged Indwelling Times

  • Thuong G. Van Ha
  • Lisa Kang
  • Jonathan Lorenz
  • Steven Zangan
  • Rakesh Navuluri
  • Christopher Straus
  • Brian Funaki
Technical Note

Abstract

Purpose

The OptEase vena cave filter (Cordis, Piscataway, NJ) is commercially available as a retrievable or permanent filter with short recommended indwelling time, presumably due to extensive contact of the filter side struts with the inferior vena cava wall and subsequent neointimal hyperplasia leading to incorporation. Our purpose was to evaluate OptEase filter retrievals with a long indwelling time period that required unconventional retrieval techniques.

Materials and Methods

We retrospectively reviewed patients who underwent OptEase filter retrieval with long undwelling times requiring additional maneuvers for retrieval. Techniques used included rigid endobronchial forceps dissection and wire-through-loop snare. Each patient underwent postretrieval venogram to evaluate for possible complications. In addition, patients had clinical follow-up 2 weeks after the retrieval procedure.

Results

There were three patients (2 women, 1 man; average age 64 years) who underwent OptEase filter retrieval. The mean indwelling time was 6.4 months. The indwelling filters were successfully retrieved. There were no complications. Postprocedural follow-up showed no clinical pathology.

Conclusion

Unconventional techniques aided in the retrieval of OptEase filters with long indwelling times.

Keywords

Venous intervention Inferior vena cava filter (IVC) placement Vena cava Deep vein thrombosis (DVT) 

Notes

Conflict of interest

The authors have no conflicts of interest to declare.

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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013

Authors and Affiliations

  • Thuong G. Van Ha
    • 1
  • Lisa Kang
    • 1
  • Jonathan Lorenz
    • 1
  • Steven Zangan
    • 1
  • Rakesh Navuluri
    • 1
  • Christopher Straus
    • 1
  • Brian Funaki
    • 1
  1. 1.Section of Interventional Radiology, Department of RadiologyUniversity of ChicagoChicagoUSA

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