TY - JOUR
T1 - Open surgical removal of a tilted and dislodged inferior vena cava filter through a lumbar branch without cavotomy
AU - Reed, Nanette R.
AU - Gloviczki, Peter
AU - Stockland, Andrew H.
AU - McBane, Robert D.
PY - 2013/7
Y1 - 2013/7
N2 - Retrievable inferior vena cava (IVC) filters decrease the risk of pulmonary embolism. Retrieval is recommended but device migration, tilting, or perforation of the IVC by the filter may prevent successful removal. We present a case of a tilted IVC filter with the retrieval hook lodged in a lumbar vein preventing endovascular removal. A subcostal incision was used for open removal. The thrombosed lumbar vein was encircled with vessel loops, facilitating collapse of the filter. No cavotomy was made. This technique, with minimal variation, can be used to remove most nonthrombosed retrievable filters from the IVC, without the need for venotomy.
AB - Retrievable inferior vena cava (IVC) filters decrease the risk of pulmonary embolism. Retrieval is recommended but device migration, tilting, or perforation of the IVC by the filter may prevent successful removal. We present a case of a tilted IVC filter with the retrieval hook lodged in a lumbar vein preventing endovascular removal. A subcostal incision was used for open removal. The thrombosed lumbar vein was encircled with vessel loops, facilitating collapse of the filter. No cavotomy was made. This technique, with minimal variation, can be used to remove most nonthrombosed retrievable filters from the IVC, without the need for venotomy.
UR - http://www.scopus.com/inward/record.url?scp=84879208962&partnerID=8YFLogxK
U2 - 10.1016/j.jvsv.2012.10.058
DO - 10.1016/j.jvsv.2012.10.058
M3 - Article
C2 - 26992592
AN - SCOPUS:84879208962
SN - 2213-333X
VL - 1
SP - 304
EP - 308
JO - Journal of Vascular Surgery: Venous and Lymphatic Disorders
JF - Journal of Vascular Surgery: Venous and Lymphatic Disorders
IS - 3
ER -