Successful Retrieval of Tip-embedded Inferior Vena Cava Filter Using a Modified Forceps Technique: Case Report

Overview

Journal Thromb J

Publisher Biomed Central

Date 2024 Mar 13

PMID 38475817

Authors

Yang Liu

Junlong Ma

Qiqi Wang

Wei Zeng

Chunshui He

Affiliations

Soon will be listed here.

Abstract

Background: The retrieval of inferior vena cava (IVC) filter is essential for preventing complications associated with the device. Advanced techniques have been developed to improve the success rate of retrieving tip-embedded filters. The forceps technique is frequently used to address this issue.

Case Presentation: We present a case study of two patients who underwent a successful tip-embedded IVC filter retrieval using a modified forceps technique, which has not been previously reported. This technique involves using a wire loop under the filter tip and a forceps to grasp the filter shoulder. By pulling the wire loop and pushing the forceps in counterforce, the filter tip is straightened and aligned with the vascular sheath. The vascular sheath can then dissect the filter tip out from the caval wall and get inside the sheath to complete the retrieval.

Conclusions: The modified forceps technique we present here offers a new solution for the complex retrieval of IVC filters.

References

Duffett L, Carrier M . Inferior vena cava filters. J Thromb Haemost. 2016; 15(1):3-12. DOI: 10.1111/jth.13564. View

Lynch F . Modified loop snare technique for the removal of bard recovery, G2, G2 express, and eclipse inferior vena cava filters. J Vasc Interv Radiol. 2012; 23(5):687-90. DOI: 10.1016/j.jvir.2012.01.060. View

Li X, Haddadin I, McLennan G, Farivar B, Staub D, Beck A . Inferior vena cava filter - comprehensive overview of current indications, techniques, complications and retrieval rates. Vasa. 2020; 49(6):449-462. DOI: 10.1024/0301-1526/a000887. View

Johnston E, Rowe L, Brookes J, Raja J, Hague J . A novel technique for inferior vena cava filter extraction. Cardiovasc Intervent Radiol. 2013; 37(1):231-4. DOI: 10.1007/s00270-013-0630-2. View

Zhong A, Trerotola S, William Stavropoulos S . Endobronchial Forceps Retrieval of Embedded Inferior Vena Cava Filters: Retrieval of 535 Filters at a Single Center. J Vasc Interv Radiol. 2022; 34(4):529-533. DOI: 10.1016/j.jvir.2022.12.005. View

Kaufman J, Barnes G, Chaer R, Cuschieri J, Eberhardt R, Johnson M . Society of Interventional Radiology Clinical Practice Guideline for Inferior Vena Cava Filters in the Treatment of Patients with Venous Thromboembolic Disease: Developed in collaboration with the American College of Cardiology, American College of.... J Vasc Interv Radiol. 2020; 31(10):1529-1544. DOI: 10.1016/j.jvir.2020.06.014. View

Yao S, Li Y, Zhu F, Guan S, Ge X, Ci H . Biopsy Forceps-Assisted Loop Snare Technique for Complex Retrieval of Inferior Vena Cava Filter. Vasc Endovascular Surg. 2022; 56(4):424-427. DOI: 10.1177/15385744211069052. View

Tavri S, Patel I, Kavali P, Irani Z, Ganguli S, Walker T . Endobronchial forceps-assisted complex retrieval of inferior vena cava filters. J Vasc Surg Venous Lymphat Disord. 2018; 7(3):413-419. DOI: 10.1016/j.jvsv.2018.08.005. View

Morrow K, Bena J, Lyden S, Parodi E, Smolock C . Factors predicting failure of retrieval of inferior vena cava filters. J Vasc Surg Venous Lymphat Disord. 2019; 8(1):44-52. DOI: 10.1016/j.jvsv.2019.07.010. View

10.

William Stavropoulos S, Ge B, Mondschein J, Shlansky-Goldberg R, Sudheendra D, Trerotola S . Retrieval of Tip-embedded Inferior Vena Cava Filters by Using the Endobronchial Forceps Technique: Experience at a Single Institution. Radiology. 2015; 275(3):900-7. DOI: 10.1148/radiol.14141420. View

11.

Al-Hakim R, Kee S, Olinger K, Lee E, Moriarty J, McWilliams J . Inferior vena cava filter retrieval: effectiveness and complications of routine and advanced techniques. J Vasc Interv Radiol. 2014; 25(6):933-9. DOI: 10.1016/j.jvir.2014.01.019. View

12.

Ochoa Chaar C, Kostiuk V, Pinto Rodriguez P, Kim T, Rathbone D, Ghandour L . The development of a novel endovascular grasper for challenging inferior vena cava filter retrieval. J Vasc Surg Venous Lymphat Disord. 2023; 12(2):101731. PMC: 11523361. DOI: 10.1016/j.jvsv.2023.101731. View

13.

Posham R, Fischman A, Nowakowski F, Bishay V, Biederman D, Virk J . Transfemoral Filter Eversion Technique following Unsuccessful Retrieval of Option Inferior Vena Cava Filters: A Single Center Experience. J Vasc Interv Radiol. 2017; 28(6):889-894. DOI: 10.1016/j.jvir.2017.02.030. View

14.

Haut E, Garcia L, Shihab H, Brotman D, Stevens K, Sharma R . The effectiveness of prophylactic inferior vena cava filters in trauma patients: a systematic review and meta-analysis. JAMA Surg. 2013; 149(2):194-202. DOI: 10.1001/jamasurg.2013.3970. View

15.

Bajda J, Park A, Raj A, Raj R, Gorantla V . Inferior Vena Cava Filters and Complications: A Systematic Review. Cureus. 2023; 15(6):e40038. PMC: 10243179. DOI: 10.7759/cureus.40038. View

16.

Matsumoto M, William Stavropoulos S, Trerotola S . Grasp-and-Fold Technique for Complex Inferior Vena Cava Filter Retrieval. J Vasc Interv Radiol. 2022; 34(3):479-484. DOI: 10.1016/j.jvir.2022.12.004. View

17.

Desai K, Laws J, Salem R, Mouli S, Errea M, Karp J . Defining Prolonged Dwell Time: When Are Advanced Inferior Vena Cava Filter Retrieval Techniques Necessary? An Analysis in 762 Procedures. Circ Cardiovasc Interv. 2017; 10(6). DOI: 10.1161/CIRCINTERVENTIONS.116.003957. View

18.

Desai K, Pandhi M, Seedial S, Errea M, Salem R, Ryu R . Retrievable IVC Filters: Comprehensive Review of Device-related Complications and Advanced Retrieval Techniques. Radiographics. 2017; 37(4):1236-1245. DOI: 10.1148/rg.2017160167. View

19.

Iliescu B, Haskal Z . Advanced techniques for removal of retrievable inferior vena cava filters. Cardiovasc Intervent Radiol. 2011; 35(4):741-50. DOI: 10.1007/s00270-011-0205-z. View