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Complex Filter Retrieval Planning

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Placement and Retrieval of Inferior Vena Cava Filters

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Abstract

Advanced techniques to retrieve inferior vena cava filters (IVCFs) have been developed and implemented at experienced centers with high rates of retrieval success and low complication rates. The purpose of this chapter is to describe pre-procedural planning for complex IVCF retrieval from the perspective of a dedicated retrieval clinic. We first define cases of complex filter retrieval and identify patients requiring pre-procedural clinic visits. The remainder of the chapter describes the essential considerations in clinical evaluation, imaging, anesthesia, and patient consent. The text is not intended to be a comprehensive review of complex IVCF retrieval but rather a practical, real-world resource to guide patient- and device-specific retrieval planning. In our experience, the benefits of IVCF retrieval usually outweigh the procedural risks when the IVCF is no longer indicated given the risk of significant IVCF-related complications. Referral to experienced centers should be considered in patients who have prior failed retrieval attempts or who have been previously considered ineligible due to technical complexity.

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Authors and Affiliations

  1. Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Andrew C. Gordon & Robert J. Lewandowski

  2. Division of Interventional Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Kush R. Desai

  3. Department of Medicine-Hematology/Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Robert J. Lewandowski

  4. Department of Surgery-Organ Transplantation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Robert J. Lewandowski

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  1. Andrew C. Gordon
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  2. Kush R. Desai
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  3. Robert J. Lewandowski
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Correspondence to Robert J. Lewandowski .

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Editors and Affiliations

  1. Division of Interventional Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Kush R. Desai

  2. University of Chicago, Chicago, IL, USA

    Osman Ahmed

  3. University of Chicago, Chicago, IL, USA

    Thuong Van Ha

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Gordon, A.C., Desai, K.R., Lewandowski, R.J. (2020). Complex Filter Retrieval Planning. In: Desai, K., Ahmed, O., Van Ha, T. (eds) Placement and Retrieval of Inferior Vena Cava Filters. Springer, Cham. https://doi.org/10.1007/978-3-030-45150-9_5

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