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Published on: March 31, 2023
The hangman technique: a modified loop snare technique for the retrieval of inferior vena cava filters with embedded
Ramsey Al-Hakim1, Justin P McWilliams1, William Derry1
1Department of Radiology, Division of Interventional Radiology, University of California, Los Angeles, 757 Westwood Plaza, Rm 2125, Los Angeles, CA 90095.
Abstract:
The loop snare technique is a method for inferior vena cava (IVC) filter retrieval that creates a wire loop between the filter legs; this technique may fail in cases with an embedded hook. This report describes the hangman technique, a modified loop snare technique for filter retrieval that creates a wire loop between the filter neck and IVC wall for release of embedded filter hooks. The hangman technique was attempted in 11 cases complicated by tilt (mean tilt, 13.3 degrees ± 3.9) and an embedded hook (mean dwell time, 194.5 d) with a retrieval success rate of 81.8% (9 of 11 cases) and no associated complications.
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