TY - JOUR
T1 - A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling "closed Cell" Inferior Vena Cava Filter Designs
AU - Chick, Jeffrey Forris Beecham
AU - Stavropoulos, S. William
AU - Shin, Benjamin J.
AU - Shlansky-Goldberg, Richard D.
AU - Mondschein, Jeffrey I.
AU - Sudheendra, Deepak
AU - Nadolski, Gregory J.
AU - Watts, Micah M.
AU - Trerotola, Scott O.
N1 - Funding Information:
S.W.S. received grants from Cook, Inc (Bloomington, Indiana), B. Braun, Bard, and W.L. Gore & Associates, Inc (Flagstaff, Arizona) and personal fees from Bard. R.D.S.-G. received grants from Celonova and is a consultant for Grifols. S.O.T. receives personal fees from Teleflex (Wayne, Pennsylvania), Cook, Inc, Medical Components, Inc (Harleysville, Pennsylvania), W.L. Gore & Associates, Inc, B. Braun, Lutonix, Bard Peripheral Vascular (Tempe, Arizona), and Orbimed; receives grants from Vascular Pathways (Boca Raton, Florida); and is a consultant for Cook, Inc, and Teleflex. None of the other authors have identified a conflict of interest.
Publisher Copyright:
© 2016 SIR.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Purpose To report results of a 16-F sheath/endobronchial forceps combination in retrieval of "closed cell" inferior vena cava (IVC) filter designs with prolonged dwell times of ≥ 60 days. Materials and Methods Forceps retrieval of selected IVC filters using a 16-F 45-cm sheath was performed in 35 patients (25 women and 10 men). Patients presented with filters that were no longer needed without (n = 10) or with (n = 21) prior failed retrieval, caval thrombosis before lysis (n = 3), and back pain (n = 1). Filter designs included 19 Günther Tulip (54%), 10 Option (29%), and six OptEase (17%). Mean dwell time was 977 days. Imaging characteristics, technical success, fluoroscopy time, and complications were recorded. Results Filters included 20 tip-embedded, 6 tip-adherent, 4 fractured, and 6 containing thrombus. All were strut and wall-embedded. Initial snare failures occurred in 8 filters because of hook straightening (n = 4), adherent material (n = 2), snare breakage (n = 1), and filter tilt (n = 1). The 16-F sheath/forceps combination was 100% successful in removing filters. In 1 patient, 2 extravascular fragments could not be retrieved. Median fluoroscopy time, excluding 3 extended lysis procedures, was 8 minutes. Minor caval abnormalities, including caval spasm and caval defects, were noted in 17 patients, and filter fracture occurred in 2 patients. No major complications occurred. Conclusions A high rate of retrieval for closed cell long-dwelling strut and wall-embedded filters may be achieved using a 16-F sheath/endobronchial forceps combination.
AB - Purpose To report results of a 16-F sheath/endobronchial forceps combination in retrieval of "closed cell" inferior vena cava (IVC) filter designs with prolonged dwell times of ≥ 60 days. Materials and Methods Forceps retrieval of selected IVC filters using a 16-F 45-cm sheath was performed in 35 patients (25 women and 10 men). Patients presented with filters that were no longer needed without (n = 10) or with (n = 21) prior failed retrieval, caval thrombosis before lysis (n = 3), and back pain (n = 1). Filter designs included 19 Günther Tulip (54%), 10 Option (29%), and six OptEase (17%). Mean dwell time was 977 days. Imaging characteristics, technical success, fluoroscopy time, and complications were recorded. Results Filters included 20 tip-embedded, 6 tip-adherent, 4 fractured, and 6 containing thrombus. All were strut and wall-embedded. Initial snare failures occurred in 8 filters because of hook straightening (n = 4), adherent material (n = 2), snare breakage (n = 1), and filter tilt (n = 1). The 16-F sheath/forceps combination was 100% successful in removing filters. In 1 patient, 2 extravascular fragments could not be retrieved. Median fluoroscopy time, excluding 3 extended lysis procedures, was 8 minutes. Minor caval abnormalities, including caval spasm and caval defects, were noted in 17 patients, and filter fracture occurred in 2 patients. No major complications occurred. Conclusions A high rate of retrieval for closed cell long-dwelling strut and wall-embedded filters may be achieved using a 16-F sheath/endobronchial forceps combination.
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U2 - 10.1016/j.jvir.2016.03.047
DO - 10.1016/j.jvir.2016.03.047
M3 - Article
C2 - 27241396
AN - SCOPUS:84969988409
SN - 1051-0443
VL - 27
SP - 1027
EP - 1033
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 7
ER -