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Grasp-and-Fold Technique for Complex Inferior Vena Cava Filter Retrieval.

Monica M Matsumoto1, S William Stavropoulos1, Scott O Trerotola1

  • 1Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

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This summary is machine-generated.

The novel grasp-and-fold technique effectively retrieves difficult inferior vena cava (IVC) filters. This method successfully removed all 14 embedded or distorted IVC filters in the study, with no severe adverse events.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Device Retrieval

Background:

  • Inferior vena cava (IVC) filters are crucial for preventing pulmonary embolism.
  • Retrieval of deeply embedded or distorted IVC filters presents significant challenges.
  • Existing retrieval methods may be insufficient for complex filter configurations.

Purpose of the Study:

  • To evaluate the efficacy and safety of the grasp-and-fold technique for retrieving complex IVC filters.
  • To assess the feasibility of using endobronchial forceps for filter manipulation.
  • To determine the rate of successful retrieval and associated adverse events.

Main Methods:

  • Retrospective analysis of 14 patients with embedded or distorted IVC filters.
  • Application of the grasp-and-fold technique using endobronchial forceps.
  • Assessment of procedural success and adverse events.

Main Results:

  • Successful retrieval of all 14 inferior vena cava (IVC) filters.
  • No severe adverse events were reported; mild and moderate events occurred.
  • One patient had pre-existing retained filter struts.

Conclusions:

  • The grasp-and-fold technique is a viable option for complex IVC filter retrieval.
  • This method offers a solution for filters with inaccessible tips.
  • Further research in larger cohorts is warranted to confirm safety and efficacy.