Next Generation IVC Filter Retrieval
نویسندگان
چکیده
Endovascular retrieval of inferior vena cava (IVC) filters can be challenging due to prolonged dwell time and increased lateral tilt. Advanced endovascular techniques are needed in at least 15% retrievals associated with procedural complications. There is a need for dedicated devices improve efficiency patient outcomes. We demonstrate the technical aspects an advanced wire-loop technique IVC filter removal. Additionally, we present next-generation device that could complex retrievals. A 27-year-old male underwent 12 years after placement. An was initially placed infrarenal position when suffered multiple gunshot wounds developed bilateral lower extremity deep vein thrombosis. Six months prior retrieval, involved motor vehicle collision had computed tomography scan abdomen pelvis showed tilted struts eroding into L4 vertebral body abutting right common iliac artery. The reported positional back pain. He no recurrent venous thromboembolism, duplex ultrasound Retrieval performed hybrid operating room. venogram 9º evidence thrombus. retrieved using technique. Completion angiogram excellent flow dissection, thrombus, perforation, or extravasation. procedure 55 minutes. novel being porcine model facilitate removal configurations time. articulation grasper allows operator direct towards filter. grabbed by hook. this engage neck rather than hook, which effective extreme tilt hook abutment wall. pig 11 modification Novel procedures.
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2023
ISSN: ['1085-875X', '0741-5214', '1097-6809']
DOI: https://doi.org/10.1016/j.jvs.2023.07.031