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Related Experiment Video

Updated: Aug 5, 2025

Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
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Inferior vena cava filter retrievals using advanced techniques: a systematic review.

Nikhit Kethidi1, Kyrollos Barsoum1, Pratik A Shukla1

  • 1Department of Radiology, Division of Vascular and Interventional Radiology, Rutgers New Jersey Medical School, Newark, NJ, USA.

Diagnostic and Interventional Radiology (Ankara, Turkey)
|March 24, 2023
PubMed
Summary

Advanced inferior vena cava (IVC) filter retrieval techniques are safe, with a 92.6% success rate and low major complication rates. Further research is needed for permanent filter retrieval safety.

Keywords:
Advanced filter retrievalcomplex filter retrievalpulmonary embolismthromboembolismvenous thromboembolism

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Area of Science:

  • Medical Devices
  • Interventional Radiology
  • Vascular Surgery

Background:

  • Inferior vena cava (IVC) filters are used to prevent pulmonary embolism.
  • Complex retrieval techniques are necessary for filters that fail standard removal or become embedded.
  • Assessing the safety and efficacy of these advanced retrieval methods is crucial.

Approach:

  • A systematic review of published literature was conducted using PubMed, adhering to PRISMA 2020 guidelines.
  • Studies reporting on complex IVC filter retrieval in >5 patients, published through April 2020, were included.
  • Risk of bias was assessed, and pooled success and complication rates were calculated for various filter types and retrieval methods.

Key Points:

  • The review included 19 studies encompassing 758 patients and 770 advanced retrieval attempts.
  • Overall success rate for advanced retrieval was 92.6%, with major complications in only 2.8% of patients.
  • Success rates were high for both retrievable (92.0%) and permanent (96.4%) filters, with no significant difference in major complication rates based on filter type.

Conclusions:

  • Advanced IVC filter retrieval techniques demonstrate a favorable safety profile with low major complication rates.
  • These techniques are effective for retrieving both retrievable and certain permanent IVC filters.
  • Further investigation into the safety of complex retrieval for permanent filters is warranted to clarify specific risks.