PMID- 36509239
OWN - NLM
STAT- MEDLINE
DCOM- 20230331
LR  - 20230331
IS  - 1535-7732 (Electronic)
IS  - 1051-0443 (Linking)
VI  - 34
IP  - 4
DP  - 2023 Apr
TI  - Endobronchial Forceps Retrieval of Embedded Inferior Vena Cava Filters: Retrieval 
      of 535 Filters at a Single Center.
PG  - 529-533
LID - S1051-0443(22)01402-6 [pii]
LID - 10.1016/j.jvir.2022.12.005 [doi]
AB  - PURPOSE: To report results of 16 years of using the endobronchial forceps 
      technique to remove embedded inferior vena cava (IVC) filters. MATERIALS AND 
      METHODS: Between January 2005 and June 2021, 534 patients (310 women and 224 men) 
      with a mean age of 52 years (standard deviation [SD] +/- 16 years) presented for 
      complex filter retrieval of 535 tip- or strut-embedded IVC filters. Tip-embedded 
      filters were diagnosed on rotational venography. Filters were considered 
      strut-embedded if they were closed-cell filters with dwell times of >6 months. 
      The filter was dissected from the IVC using rigid bronchoscopy forceps and 
      removed through a vascular sheath. RESULTS: The endobronchial forceps technique 
      was successful in 530 of 537 retrieval attempts on an intention-to-treat basis 
      (98.7%); a total of 530 filters were retrieved. There were 7 failures: (a) 5 
      failed retrieval attempts (2 that were retrieved successfully in subsequent 
      procedures) and (b) 2 for which retrieval was not attempted. The mean filter 
      dwell time was 1,459 days (SD +/- 1,617 days). Laser sheaths were not used for any 
      removal. Filters included herein were 137 Celect (94 Celect and 43 Celect 
      Platinum), 99 Gunther Tulip, 72 Option (48 Option and 24 Option Elite), 68 G2, 45 
      G2X/Eclipse, 42 Denali, 30 OptEase, 29 Recovery, 7 Meridian, and 6 ALN with Hook 
      filters. Thirty-four minor (6.3%) and 11 major (2%) adverse events (AEs) 
      occurred, which did not result in permanent sequelae. CONCLUSIONS: Use of 
      endobronchial forceps for removal of tip- and strut-embedded retrievable IVC 
      filters is effective and has low AE rates.
CI  - Copyright (c) 2022 SIR. Published by Elsevier Inc. All rights reserved.
FAU - Zhong, Anny
AU  - Zhong A
AD  - Division of Interventional Radiology, Department of Radiology, Hospital of the 
      University of Pennsylvania, Perelman School of Medicine at 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, Perelman School of Medicine at the University of 
      Pennsylvania, Philadelphia, Pennsylvania.
FAU - Stavropoulos, S William
AU  - Stavropoulos SW
AD  - Division of Interventional Radiology, Department of Radiology, Hospital of the 
      University of Pennsylvania, Perelman School of Medicine at the University of 
      Pennsylvania, Philadelphia, Pennsylvania. Electronic address: 
      s.stavropoulos@pennmedicine.upenn.edu.
LA  - eng
PT  - Journal Article
DEP - 20221209
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  - Middle Aged
MH  - *Vena Cava Filters/adverse effects
MH  - Device Removal/adverse effects/methods
MH  - Vena Cava, Inferior/diagnostic imaging/surgery
MH  - Retrospective Studies
MH  - Surgical Instruments
MH  - Treatment Outcome
EDAT- 2022/12/13 06:00
MHDA- 2023/03/31 06:42
CRDT- 2022/12/12 19:25
PHST- 2022/08/26 00:00 [received]
PHST- 2022/11/16 00:00 [revised]
PHST- 2022/12/01 00:00 [accepted]
PHST- 2023/03/31 06:42 [medline]
PHST- 2022/12/13 06:00 [pubmed]
PHST- 2022/12/12 19:25 [entrez]
AID - S1051-0443(22)01402-6 [pii]
AID - 10.1016/j.jvir.2022.12.005 [doi]
PST - ppublish
SO  - J Vasc Interv Radiol. 2023 Apr;34(4):529-533. doi: 10.1016/j.jvir.2022.12.005. 
      Epub 2022 Dec 9.