Transfemoral Filter Eversion Technique following Unsuccessful Retrieval of Option Inferior Vena Cava Filters: A Single Center Experience

Transfemoral Filter Eversion Technique following Unsuccessful Retrieval of Option Inferior Vena Cava Filters: A Single Center Experience
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DOI:
10.1016/j.jvir.2017.02.030
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发表时间:
2017-06-01
影响因子:
2.9
通讯作者:
Lookstein, Robert A.
Lookstein, Robert A.
中科院分区:
医学3区
文献类型:
--
作者:
Posham, Raghuram;Fischman, Aaron M.;Lookstein, Robert A.

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本报告描述了Option和Option ELITE(Argon Medical Devices,Inc,Athens,Texas)下腔静脉(WC)滤器尝试回收失败后使用滤器外翻技术的技术可行性。该技术需要使用内窥镜钳将该特定品牌的IVC滤器翻转到插入股总静脉的鞘管中,方向与滤器的设计移除方向相反。25例患者尝试滤器外翻,中位留置时间为134天(范围:442,124天)。回收成功率为100%(25/25例),总体并发症发生率为8%。这项技术值得进一步研究。
This report describes the technical feasibility of using the filter eversion technique after unsuccessful retrieval aftempts of Option and Option ELITE (Argon Medical Devices, Inc, Athens, Texas) inferior vena cava (WC) filters. This technique entails the use of endoscopic forceps to evert this specific brand of IVC filter into a sheath inserted into the common femoral vein, in the opposite direction in which the filter is designed to be removed. Filter eversion was attempted in 25 cases with a median dwell time of 134 days (range, 442,124 d). Retrieval success was 100% (25/25 cases), with an overall complication rate of 8%. This technique warrants further study.