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Penetration of Günther Tulip filter struts through an introducer sheath: case report and safety concerns
Sohail G Contractor1, Alex Merkulov, Waseem Bhatti
1Department of Radiology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 150 Bergen Street, Newark, NJ 07101, USA. contrasg@umdnj.edu
Abstract:
The authors present a patient who had a Günther-Tulip inferior vena cava filter placed under fluoroscopic guidance. The filter struts were seen to penetrate through the introducer sheath at deployment. This was believed to be secondary to a kink in the sheath at the site of venous entry and was due to the patient's nuchal obesity as well as his inability to turn his head to the opposite side. The introducer sheath was then placed through a long reinforced metal sheath through which the filter was then placed without complication.