2020Radiology Case ReportsOpen access

Uncomplicated percutaneous IVC filter removal following implantation time of 6033 days

Hans Michell, Gregory Johnston, Christopher S. Morris

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Abstract

Most patients have a time limited indication for inferior vena cava filtration. When the indication has expired, a retrievable inferior vena cava filter should be removed percutaneously, unless the risks of retrieval outweigh the benefits. Over time, long term indwelling inferior vena cava filters may experience complications, such as strut penetration, migration, thrombosis, tilt, fracture, and inferior vena cava stenosis. Long term indwelling retrievable inferior vena cava filters may become embedded in the wall of the inferior vena cava, making percutaneous retrieval difficult. However, this is not always the case, and they also may be easily and safely removed using simple techniques. We present a case of a long term indwelling retrievable inferior vena cava filter that was easily removed using simple techniques, 16.5 years after placement.

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What this paper is about

Most patients have a time limited indication for inferior vena cava filtration. When the indication has expired, a retrievable inferior vena cava filter should be removed percutaneously, unless the risks of retrieval outweigh the benefits. Over time, long term indwelling inferior vena cava filters may experience complications, such as strut penetration, migration, thrombosis, tilt, fracture, and inferior vena cava stenosis. Long term indwelling retrievable inferior vena cava filters may become embedded in the wall of the inferior vena cava, making percutaneous retrieval difficult. However, this is not always the case, and they also may be easily and safely removed using simple techniques. We present a case of a long term indwelling retrievable inferior vena cava filter that was easily removed using simple techniques, 16.5 years after placement.

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Available abstract

Most patients have a time limited indication for inferior vena cava filtration. When the indication has expired, a retrievable inferior vena cava filter should be removed percutaneously, unless the risks of retrieval outweigh the benefits. Over time, long term indwelling inferior vena cava filters may experience complications, such as strut penetration, migration, thrombosis, tilt, fracture, and inferior vena cava stenosis. Long term indwelling retrievable inferior vena cava filters may become embedded in the wall of the inferior vena cava, making percutaneous retrieval difficult. However, this is not always the case, and they also may be easily and safely removed using simple techniques. We present a case of a long term indwelling retrievable inferior vena cava filter that was easily removed using simple techniques, 16.5 years after placement.

Key concepts: Medicine, Inferior vena cava, Inferior vena cava filter, Percutaneous, Thrombosis, Radiology, Surgery, Stenosis

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