The Günther temporary inferior vena cava filter for short-term protection against pulmonary embolism

  • Louwerens D. Vos
  • Alexander V. Tielbeek
  • Ernst P. Bom
  • Harm C. Gooszen
  • Dammis Vroegindeweij
Clinical Investigations



To evaluate clinically the Günther temporary inferior vena cava (IVC) filter.


Eleven IVC filters were placed in 10 patients. Indications for filter placement were surgical pulmonary embolectomy in seven patients, pulmonary embolism in two patients, and free-floating iliofemoral thrombus in one patient. Eight filters were inserted from the right femoral approach, three filters from the left. Follow-up was by plain abdominal radiographs, cavography, and duplex ultrasound (US). Eight patients received systemic heparinization. Follow-up, during 4–60 months after filter removal was by clinical assessment, and imaging of the lungs was performed when pulmonary embolism (PE) was suspected. Patients received anticoagulation therapy for at least 6 months.


Ten filters were removed without complications 7–14 days (mean 10 days) after placement. One restless patient pulled the filter back into the common femoral vein, and a permanent filter was placed. In two patients a permanent filter was placed prior to removal. One patient developed sepsis, and one an infection at the insertion site. Clinically no recurrent PE developed with the filter in place or during removal. One patient had recurrent PE 7 months after filter removal.


The Günther temporary IVC filter can be safely placed for short-term protection against PE. The use of this filter is not appropriate in agitated or immunocompromised patients.

Key words

Embolism, pulmonary Vena cava, filters, temporary filters Interventional procedures 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Bergqvist D (1994) The role of vena caval interruption in patients with venous thromboembolism. Prog Cardiovasc Dis 37:25–37PubMedCrossRefGoogle Scholar
  2. 2.
    Jones TK, Barnes RW, Greenfield LJ (1986) Greenfield vena cava filter: Rationale and current indications. Ann Thorac Surg 42 (suppl):48–55CrossRefGoogle Scholar
  3. 3.
    Norris CS, Greenfield LJ, Herrmann JB (1985) Free-floating iliofemoral thrombus: A risk of pulmonary embolism. Arch Surg 120:806–808PubMedGoogle Scholar
  4. 4.
    Rohrer MJ, Scheidler MG, Wheeler HB, Cutler BS (1988) Extended indications for placement of an inferior vena cava filter. J Vasc Surg 10:44–55CrossRefGoogle Scholar
  5. 5.
    Ferris EJ, McCowan TC, Carver DK, McFarland DR (1993) Percutaneous inferior vena cava filters: Follow-up of seven designs in 320 patients. Radiology 188:851–856PubMedGoogle Scholar
  6. 6.
    Becker DM, Philbrick JT, Selby JB (1992) Inferior vena cava filters: Indications, safety, effectiveness. Arch Intern Med 152:1985–1994PubMedCrossRefGoogle Scholar
  7. 7.
    Athanasoulis CA (1993) Complications of vena cava filters. Radiology 188:614–615PubMedGoogle Scholar
  8. 8.
    Millward SF, Bormanis J, Burbridge BE, Markman SJ, Peterson RA (1994) Preliminary clinical experience with the Günther temporary inferior vena cava filter. J Vasc Intervent Radiol 5:863–868CrossRefGoogle Scholar
  9. 9.
    Becker CD, Hoogewoud H-M, Felder P, Gal I, Ruijs PA, Triller J (1994) Long-term follow-up of the Günther basket inferior vena cava filter: Does mechanical instability cause complications? Cardiovasc Intervent Radiol 17:247–251PubMedCrossRefGoogle Scholar
  10. 10.
    Epstein DH, Darcy MD, Hunter DW, Coleman CC, Tadavarthy SM, Murray PD, Castaneda-Zuniga WR, Amplatz K (1989) Experience with the Amplatz retrievable vena cava filter. Radiology 172:105–110PubMedGoogle Scholar
  11. 11.
    Neuerburg J, Günther RW (1994) Developments in inferior vena cava filters: A European viewpoint. Semin Intervent Radiol 11:349–357Google Scholar
  12. 12.
    Irie T, Yamauchi T, Makita K, Kusano S (1995) Retrievable IVC filter: Preliminary in vitro and in vivo evaluation. J Vasc Intervent Radiol 6:449–454Google Scholar
  13. 13.
    Théry C, Asseman P, Amrouni N, Becquart J, Lesenne M, Legghe R, Marache P (1990) Use of a new removable vena cava filter in order to prevent pulmonary embolism in patients submitted to thrombolysis. Eur Heart J 11:334–341PubMedGoogle Scholar
  14. 14.
    Théry C, Bauchart JJ, Lesenne M, Asseman P, Flajollet JG, Legghe R, Marache P (1992) Predictive factors of effectiveness of streptokinase in deep venous thrombosis. Am J Cardiol 69:117–122PubMedCrossRefGoogle Scholar
  15. 15.
    Von Zwaan M, Kagel C, Marienhoff N, Weiss H-D, Grimm W, Eberhard I, Schweider G (1995) Erste Erfahrungen mit temporären Vena-cava-Filtern. Fortschr Röntgenstr 163:171–176Google Scholar
  16. 16.
    Carcone B, Pernes JM, Carcopino JM, Chollet D, Pouillard F (1995) Aggravation de thromboses proximales après insertion d’un filtre cave temporaire (trois cas). Rev Med Intern 16: 351–353CrossRefGoogle Scholar
  17. 17.
    Nakagawa N, Cragg AH, Smith TP, Castaneda F, Barnhart WH, DeJong SC (1994) A retrievable nitinol vena cava filter: Experimental and initial clinical results. J Vasc Intervent Radiol 5:507–512Google Scholar
  18. 18.
    Castrucci M (1993) Protected thrombolytic treatment in deep venous thrombosis (DVT) and pulmonary embolism (PE), using a new infusion caval filter catheter (Filcard RF02): Results of a multicentric study. (abstract). Cardiovasc Intervent Radiol 16 (suppl):12Google Scholar
  19. 19.
    Kuszyk BS, Venbrux AC, Samphilipo MA, Magee CA, Olson JL, Osterman FA (1995) Subcutaneously tethered temporary filter: Pathologic effects in swine. J Vasc Intervent Radiol 6: 895–902Google Scholar
  20. 20.
    Weissmann JR, Sullivan KL (1990) In vitro assessment of clot trapping and retrieval with the temporary Günther vena caval filter. (abstract) Radiology 177 (P):310Google Scholar
  21. 21.
    Monreal M, Ruíz J, Olazabal A, Arias A, Roca J (1992) Deep venous thrombosis and the risk of pulmonary embolism. Chest 102:677–681PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc 1997

Authors and Affiliations

  • Louwerens D. Vos
    • 1
  • Alexander V. Tielbeek
    • 1
  • Ernst P. Bom
    • 1
  • Harm C. Gooszen
    • 2
  • Dammis Vroegindeweij
    • 1
  1. 1.Department of RadiologyCatharina HospitalEindhovenThe Netherlands
  2. 2.Department of PulmonologyCatharina HospitalEindhovenThe Netherlands

Personalised recommendations