Retrieval of Inferior Vena Cava Filters Temporarily Placed in a Suprarenal Position: A Review of 13 Patients

• Published in: Vascular and endovascular surgery Vol. 53; no. 6; p. 446
• Main Authors: Mandel, Jacob E, Fisher, Jason A, Cedillo, Mario A, Shukla, Pratik A, Bishay, Vivian, Ranade, Mona, Patel, Rahul S, Kim, Edward, Nowakowski, Scott F, Lookstein, Robert A, Fischman, Aaron M
• Format: Journal Article
• Language: English
• Published: United States 01.08.2019
• Subjects: Adult; Computed Tomography Angiography; Device Removal - adverse effects; Device Removal - methods; Endovascular Procedures - adverse effects; Endovascular Procedures - methods; Female; Humans; Male; Middle Aged; Phlebography - methods; Prosthesis Implantation - adverse effects; Prosthesis Implantation - instrumentation; Retrospective Studies; Risk Factors; Treatment Outcome; Vena Cava Filters; Vena Cava, Inferior - diagnostic imaging; suprarenal IVCF; IVCF; venous interventions; IVCF retrieval
• ISSN: 1938-9116
• DOI: 10.1177/1538574419843697

To evaluate the safety and efficacy of retrieval of inferior vena cava filters (IVCF) temporarily placed in a suprarenal position. Retrieval of IVCF placed in a suprarenal position was performed in 13 patients (5 men and 8 women; mean age: 45.1 ± 13.8 years) between July 2006 and May 2018 using either a loop snare technique or endobronchial forceps. Electronic medical records were reviewed for patient demographics and procedural information. Inferior vena cava filters retrieved included Option Elite (n = 9, 69%) and Günther Tulip (n = 4, 31%). Caval thrombosis was not detected in any patients on pre- or postretrieval cavogram. Eleven suprarenal IVCF (84%) were retrieved during the first retrieval attempt after a median indwelling time of 1.8 months (range, 0.03-12.10 months). Retrieval was initially unsuccessful in 2 (16%) patients with Option Elite filters, but both were successfully removed on second attempt using endobronchial forceps. Thirteen suprarenal IVCF (100%) were ultimately retrieved. Endovascular retrieval of IVCF temporarily placed in a suprarenal position is safe and efficacious.