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Computed tomography imaging of vena cava filter complications: a pictorial review
A Cina1, G Masselli, C Di Stasi
1Department of Radiology, Università Cattolica del Sacro Cuore, Policlinico Agostino Gemelli, Rome, Italy. acina@sirm.org
Insights
Inferior vena cava (IVC) filters prevent pulmonary embolism but have complications. This review details normal filter appearance and complications on computed tomography (CT) scans, aiding diagnosis.
Area of Science:
- Radiology
- Vascular Surgery
- Medical Imaging
Background:
- Inferior vena cava (IVC) filters are crucial for preventing pulmonary embolism (PE).
- While effective, IVC filters are associated with a non-negligible rate of complications.
- Computed tomography (CT) is a key imaging modality for evaluating IVC filters and associated complications.
Purpose of the Study:
- To review the normal computed tomography (CT) appearance of inferior vena cava (IVC) filters.
- To classify and describe the CT findings of various IVC filter complications.
- To highlight technical considerations for optimal CT imaging of IVC filters.
Main Methods:
- Review of existing literature on IVC filters and their complications.
- Analysis of computed tomography (CT) imaging characteristics.
- Classification of complications based on CT findings.
Main Results:
- Detailed description of the typical CT presentation of IVC filters.
- Categorization of complications, including caval and extracaval findings.
- Identification of specific CT features indicative of filter-related issues.
Conclusions:
- Computed tomography (CT) is essential for comprehensive assessment of IVC filters.
- Understanding normal and abnormal CT findings is critical for managing IVC filter complications.
- Adherence to technical imaging guidelines ensures accurate evaluation.
Abstract:
Caval filters are widely used in the prevention of pulmonary embolism. Filters have proved to be effective, but the complication rate is not negligible. Computed tomography (CT) provides a complete evaluation of the filter, including both caval and extracaval complications. In this review, we describe the normal CT aspect of cava filters, the classification of complications and their CT findings. Technical considerations for adequate CT imaging are also highlighted.
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Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...

