PMID- 36509237 OWN - NLM STAT- MEDLINE DCOM- 20230228 LR - 20230324 IS - 1535-7732 (Electronic) IS - 1051-0443 (Linking) VI - 34 IP - 3 DP - 2023 Mar TI - Grasp-and-Fold Technique for Complex Inferior Vena Cava Filter Retrieval. PG - 479-484 LID - S1051-0443(22)01401-4 [pii] LID - 10.1016/j.jvir.2022.12.004 [doi] AB - This study evaluated the use of the grasp-and-fold technique for complex forceps retrieval of inferior vena cava (IVC) filters. A retrospective study of 14 patients (12 women and 2 men) who had either deeply tip-embedded or severely distorted IVC filters was performed at a single institution over 10 years. In this technique, endobronchial forceps were used to fold the filter in half to remove it through the sheath because the filter tip could not be accessed by dissection. The grasp-and-fold technique successfully removed all 14 filters. One patient had retained filter struts, which were present before the procedure. One mild and 5 moderate adverse events (AEs), including fracture fragment embolization requiring retrieval and self-limited IVC extravasation, occurred. No severe AEs occurred. In this small patient cohort, the grasp-and-fold forceps technique successfully retrieved deeply tip-embedded or distorted IVC filters with inaccessible tips. CI - Copyright (c) 2022 SIR. Published by Elsevier Inc. All rights reserved. FAU - Matsumoto, Monica M AU - Matsumoto MM AD - Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: monica.matsumoto1@pennmedicine.upenn.edu. FAU - Stavropoulos, S William AU - Stavropoulos SW AD - Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. FAU - Trerotola, Scott O AU - Trerotola SO AD - Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. LA - eng PT - Journal Article DEP - 20221210 PL - United States TA - J Vasc Interv Radiol JT - Journal of vascular and interventional radiology : JVIR JID - 9203369 SB - IM MH - Male MH - Humans MH - Female MH - *Vena Cava Filters/adverse effects MH - Retrospective Studies MH - Device Removal/methods MH - Surgical Instruments MH - Hand Strength MH - Vena Cava, Inferior/surgery MH - Treatment Outcome EDAT- 2022/12/13 06:00 MHDA- 2023/03/03 06:00 CRDT- 2022/12/12 19:25 PHST- 2022/09/19 00:00 [received] PHST- 2022/11/19 00:00 [revised] PHST- 2022/12/01 00:00 [accepted] PHST- 2022/12/13 06:00 [pubmed] PHST- 2023/03/03 06:00 [medline] PHST- 2022/12/12 19:25 [entrez] AID - S1051-0443(22)01401-4 [pii] AID - 10.1016/j.jvir.2022.12.004 [doi] PST - ppublish SO - J Vasc Interv Radiol. 2023 Mar;34(3):479-484. doi: 10.1016/j.jvir.2022.12.004. Epub 2022 Dec 10.