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Guide wire entrapment in a vena cava filter: techniques for dislodgement.

Ahmed K Abdel-Aal1, Souheil Saddekni, Maysoon F Hamed

  • 1Department of Radiology, Section of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, AL 35249, USA. akamel@uabmc.edu

Vascular and Endovascular Surgery
|January 1, 2013
PubMed
Summary

Guide wire entrapment in inferior vena cava (IVC) filters during central venous catheter (CVC) placement is a rare complication. This review details removal techniques and offers recommendations to prevent guide wire entrapment in IVC filters.

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Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Medical Device Complications

Background:

  • Central venous catheter (CVC) placement is a common procedure.
  • Inferior vena cava (IVC) filters are increasingly used to prevent pulmonary embolism.
  • Entrapment of CVC guide wires within IVC filters is a rare but serious complication.

Purpose of the Study:

  • To review preferred techniques for removing entrapped guide wires in IVC filters.
  • To discuss indications, advantages, and disadvantages of each removal technique.
  • To provide recommendations for preventing guide wire entrapment during CVC placement.

Main Methods:

  • Literature review of reported cases and techniques for guide wire removal from IVC filters.
  • Analysis of indications, advantages, and disadvantages of various interventional strategies.
  • Synthesis of preventative measures based on clinical experience and published data.

Main Results:

  • Several techniques exist for guide wire removal, tailored to specific entrapment scenarios.
  • Potential consequences of non-removal include filter dislodgement, migration, fracture, and IVC injury.
  • Preventative strategies focus on careful guide wire manipulation and awareness of filter presence.

Conclusions:

  • Prompt and appropriate management is crucial for entrapped guide wires to minimize complications.
  • Understanding various removal techniques enhances clinical preparedness.
  • Adherence to preventative recommendations can reduce the incidence of this rare complication.