Inferior Vena Cava (IVC) Filter

Indications for IVC Filter

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Types of IVC Filters

  • Cook Günther Tulip: retrievable
  • B Braun Tempofilter IVC filter: retrievable
  • B Braun VenaTech LGM IVC filter: no longer sold
  • B Braun VenaTech LP IVC filter
  • Bard G2x IVC: retrievable, unlimited indwell time
  • Bard G2: retrievable
  • Cook Gianturco-Roehm Bird’s Nest IVC Filter: permanent
  • Cook Celect: retrievable
  • Cordis OptEase IVC filter: retrievable, 23 day indwell time
  • Cordis TrapEase IVC filter
  • Mobin-Uddin Umbrella IVC filter: no longer sold
  • ALN IVC filter: retrievable
  • Rex Medical Option IVC filter: retrievable
  • Rafael Medical SafeFlo Vena Cava Filter: for permanent implantation

Complications of IVC Filter Placement

  • Acute Damage to IVC
  • Acute PE
  • Extravasation of Contrast Material at Time of Vena Cavagram
  • Hematoma at Vascular Access Site
  • Hemorrhage
  • Thrombosis or Stenosis at Implant Site
  • Wound Infection at Vascular Access Site
  • Death

Studies of Günther Tulip IVC Filter Removal

  • Günther Tulip Filter Retrievability multicenter Study Including CT Follow-up: Final Report. JVIR 2006; 17: 1017-1023
    • Filters Inserted: 41
    • Retrieval Attempts: 26
    • Successful Retrievals: 26
    • Range (Days): 2–20
    • Mean (Days): 11.4
    • Adverse Events: none
  • Inferior vena cava filter removal after 475-day implantation. JVIR 2005; 16: 1156-1158
    • Filters Inserted: 1
    • Retrieval Attempts: 1
    • Successful Retrievals: 1
    • Range (Days): 475
    • Mean (Days): 475
    • Adverse Events: none
  • Inferior vena cava filter removal after 317-day 1 implantation. JVIR 2005; 16: 1395-1398
    • Filters Inserted: 1
    • Retrieval Attempts: 1
    • Range (Days): 317
    • Mean (Days): 317
    • Adverse Events: mild caval stenosis following 317-day retrieval; follow-up Ok
  • Retrievable Günther Tulip Filter-experience in 188 cases. paper. 2005 Annual meeting Society of Interventional Radiology
    • Filters Inserted: 188
    • Retrieval Attempts: 122
    • Successful Retrievals: 110
    • Range (Days): 1–309
    • Mean (Days): 59.6
    • Adverse Events: 1) mild IVC stenosis 2) Filter fractured during retrieval and small filter fragment embolized to lung
  • Retrievable VCFs in high Risk Surgical patients: A Study in Safety and efficacy. 2006 manuscript submitted to Journal of Vascular Surgery
    • Filters Inserted: 60
    • Retrieval Attempts: 54
    • Successful Retrievals: 52
    • Range (Days): 32–162
    • Mean (Days): 63
    • Adverse Events: One patient had non-fatal pe with filter in place. Three patients required second retrieval attempt. All three were successful
  • Extended interval for retrieval of Günther Tulip filters. JVIR 2004; 15: 1257-1262
    • Filters Inserted: 53
    • Retrieval Attempts: 19
    • Successful Retrievals: 16
    • Range (Days): 7–126
    • Mean (Days): 34
    • Adverse Events: none
  • Current trends in vena caval filtration with the introduction of a retrievable filter at a level I trauma center. J Trauma. 2004; 57(1): 32-36
    • Filters Inserted: 58
    • Retrieval Attempts: 14
    • Successful Retrievals: 13
    • Range (Days): 11–41
    • Mean (Days): 19
    • Adverse Events: one patient had a non-fatal PE after filter retrieval