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Inferior Vena Cava Filter Retrieval: Patient Selection, Procedural Planning, and Postprocedural Complications.
Simer Grewal1, Robert J Lewandowski1, Robert K W Ryu2,3
1Department of Radiology, Division of Interventional Radiology, Northwestern University Feinberg School of Medicine, 676 N St. Clair, Ste 800, Chicago, IL 60611.
AJR. American Journal of Roentgenology
|August 7, 2020
Summary
Retrievable inferior vena cava filters (rIVCFs) are crucial for preventing pulmonary embolism in select patients. Increased awareness of complications and low retrieval rates highlight the need for diligent follow-up and safe filter retrieval.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiology
Background:
- Retrievable inferior vena cava filters (rIVCFs) are increasingly scrutinized due to high placement rates and low retrieval rates.
- Device-related complications associated with IVCFs have prompted greater interest in their retrieval.
Purpose of the Study:
- To outline indications for IVCF retrieval.
- To detail patient selection, procedural planning, and complication management for rIVCF removal.
Main Methods:
- Review of current literature and clinical practices regarding rIVCF retrieval.
- Description of advanced endovascular techniques for IVCF removal.
Main Results:
- IVCFs remain important for pulmonary embolism prevention in specific patient populations.
- Emphasis on filter retrieval is growing due to complication awareness and historically low retrieval rates.
Conclusions:
- Judicious use of IVCFs is essential.
- Proactive follow-up and meticulous procedural planning facilitate safe and timely IVCF retrieval.
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