Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Endovascular retrieval of fractured inferior vena cava (IVC) filters after the manufacturer recommended indwelling time can be challenging and require advanced retrieval techniques. We describe an endovascular retrieval technique of a fractured Optease IVC filter in a 57-year-old woman using endobronchial forceps and intraoperative cone-beam computed tomography guidance. Following incomplete filter retrieval, the location and orientation of fractured strut was confirmed by cone-beam computed tomography venography. The embedded filter fragment was then successfully removed using endobronchial forceps via a transjugular venous approach. In the present report, we highlight the additional value of intraoperative cross-sectional imaging, in conjunction with advanced endovascular techniques, for retrieval of challenging IVC filters.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10547734PMC
http://dx.doi.org/10.1016/j.jvscit.2023.101187DOI Listing

Publication Analysis

Top Keywords

endovascular retrieval
12
endobronchial forceps
12
cone-beam computed
12
computed tomography
12
retrieval fractured
8
fractured optease
8
inferior vena
8
vena cava
8
forceps intraoperative
8
intraoperative cone-beam
8

Similar Publications

Purpose: Endovascular treatment of intracranial atherosclerotic disease (ICAD) remains challenging due to procedural risks and stroke recurrence. Previous trials have favored aggressive medical therapy. In patients refractory to medical therapy, 'stentplasty' using expandable and retrievable devices may provide a safer alternative to balloon angioplasty by allowing controlled submaximal vessel dilation without flow arrest.

View Article and Find Full Text PDF

A 49-year-old female presented with subacute onset of severe worsening bilateral lower extremity swelling. Bilateral iliac venous thrombus and extensive thrombus of the inferior vena cava with extension to the right atrium and bilateral segmental pulmonary emboli was identified on imaging. She was initiated on therapeutic anticoagulation prior to undergoing percutaneous mechanical thrombectomy with the RevCore TM device (Inari Medical, Irvine, CA) with retrieval of white, relatively well-formed organized clot vs mass.

View Article and Find Full Text PDF

Complete fracture of a guiding catheter is a rare, but potentially serious, complication of percutaneous coronary intervention. Options for removal include endovascular retrieval devices or surgery. A rare case of a fractured guiding catheter with its tip in the ascending aorta and its successful retrieval using a combination of home-made snare, kissing guiding catheter and balloon trekking technique is reported.

View Article and Find Full Text PDF

Despite advancements in endovascular equipment, life-threatening procedure-related complications, including arterial perforation, remain a concern. In particular, microguidewire entrapment in perforating arteries poses a significant risk of arterial avulsion injury. However, limited guidance exists on effectively managing such scenarios, and to the best of our knowledge, no cases of successful resolution of entrapment using nimodipine have been reported to date.

View Article and Find Full Text PDF

Purpose: Assess the prevalence of thalamic AVM (tAVMs), their revealing conditions and angio-architectural features, as well as their therapeutic management.

Methods: Monocentric retrospective study (1998 to 2018) involving 748 consecutive patients with a brain AVM managed at the Pitié-Salpêtrière Hospital, from which tAVMs were retrieved. Revealing condition of the tAVMs was recorded.

View Article and Find Full Text PDF