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Related Experiment Videos

Initial experience using the rigid forceps technique to remove wall-embedded IVC filters.

Allan Avery1, Maximilian Stephens1, Kendal Redmond1,2

  • 1Department of Medical Imaging, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Journal of Medical Imaging and Radiation Oncology
|March 11, 2015
PubMed
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The rigid forceps technique successfully removes severely tilted and embedded inferior vena cava (IVC) filters. This method improves IVC filter retrieval rates and enhances patient safety.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Device Retrieval

Background:

  • Severely tilted and embedded inferior vena cava (IVC) filters pose significant removal challenges.
  • Endothelialization can impede standard retrieval methods like snares and cones.
  • The rigid forceps technique offers a novel approach to overcome these difficulties.

Purpose of the Study:

  • To evaluate the efficacy and safety of the rigid forceps technique for removing challenging IVC filters.
  • To assess the impact of this technique on IVC filter retrieval success rates.

Main Methods:

  • Retrospective review of medical imaging and patient records.
  • Analysis of 13 IVC filter removals using the rigid forceps technique over 22 months.
  • Involved two tertiary referral institutions.
Keywords:
IVC filterembolic protection deviceembolic protection filterfilter retrievalrigid forceps

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Main Results:

  • The rigid forceps technique achieved an 85% success rate (11/13) in IVC filter removal.
  • All filters exhibited tilt and IVC wall embedding, with an average tilt of 19 degrees.
  • No major complications were observed during the procedures.

Conclusions:

  • The rigid forceps technique is a safe and effective method for removing severely tilted and embedded IVC filters.
  • This technique is readily reproducible and enhances successful IVC filter retrieval.
  • Implementation of this technique improves the overall safety of IVC filter programs.