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.

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