Mid- and Long-term Outcome of Patients with Permanent Inferior Vena Cava Filters: A Single Center Review

Objective The Simon Nitinol filter is a bi-level filtration device designed for permanent implantation that is no longer commercially available, but may result in similar complications to current commercially available long term indwelling temporary or permanent filters. Complications related to indwelling inferior vena cava filters include inferior vena cava thrombosis, inferior vena cava penetration, filter migration, and filter fracture. There is a paucity of reports describing the technical aspects related to retrieval of Simon Nitinol filters. Materials and methods This study consisted of five patients with Simon Nitinol filters and describes the indication for retrieval, the retrieval techniques used to remove the filters, technical success, complications, and clinical course. Results The indications for retrieval included: abdominal pain ( n = 2; 40%), iliocaval thrombosis ( n = 1; 20%), identification of an intracardiac filter fragment ( n = 1; 20%), and recurrent venous thromboembolic events ( n = 1; 20%). Retrieval techniques included: biopsy forceps ( n = 3; 60%), excimer laser extraction sheaths ( n = 3; 60%), hangman modified loop snares ( n = 3; 60%), rigid endobronchial forceps ( n = 2; 40%), and balloon deflection ( n = 2; 40%). All filters were successfully retrieved. One patient developed a post-procedural intramuscular hematoma near the site of right internal jugular sheath placement. Conclusions Simon Nitinol filters may be retrieved safely and effectively using advanced inferior vena cava filter retrieval techniques.

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Long-Term Outcome of Inferior Vena Cava Filter Placement in Patients Undergoing Gastric Bypass

Annals of Vascular Surgery ◽

10.1016/j.avsg.2010.05.004 ◽

2010 ◽

Vol 24 (7) ◽

pp. 946-949 ◽

Cited By ~ 12

Author(s):

Nicholas J. Gargiulo ◽

David J. O'Connor ◽

Frank J. Veith ◽

Evan C. Lipsitz ◽

Pratt Vemulapalli ◽

...

Keyword(s):

Gastric Bypass ◽

Inferior Vena Cava ◽

Inferior Vena Cava Filter ◽

Inferior Vena ◽

Vena Cava ◽

Vena Cava Filter ◽

Term Outcome ◽

Filter Placement ◽

Long Term Outcome

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Tips and tricks for retrieval of permanent TRAPEASE® filters for inferior vena cava

Vascular ◽

10.1177/1708538114560456 ◽

2014 ◽

Vol 23 (6) ◽

pp. 648-652 ◽

Cited By ~ 1

Author(s):

Albeir Y Mousa ◽

Shadi AbuHalimah ◽

Michael Yacoub ◽

Iqra Sheikh ◽

Ali F AbuRahma

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Case Reports ◽

Vena Cava ◽

Tips And Tricks ◽

Inferior Vena Cava Filters ◽

Vena Cava Filters

The placement of permanent inferior vena cava filters has definite indications and some filters have been shown to be more problematic in the long term than others. This report outlines the technique for TRAPEASE® filter removal in two patients. The first filter was retrieved four weeks after insertion and the second filter was retrieved 14 months after it was inserted at another institution. A planned approach for retrieval is described in these case reports.

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