TY - JOUR
T1 - Endovascular retrieval of a fractured Optease inferior vena cava filter using endobronchial forceps and intraoperative cone-beam computed tomography guidance
AU - Osztrogonacz, Peter J.
AU - Munawar, Leena
AU - Auyang, Philip
AU - Chinnadurai, Ponraj
AU - Lumsden, Alan B.
N1 - Funding Information:
The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.
Publisher Copyright:
© 2023 The Author(s)
PY - 2023/9
Y1 - 2023/9
N2 - 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.
AB - 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.
KW - Endobronchial forceps
KW - Fragmented IVC filter
KW - Image guidance
KW - Intraoperative cone-beam computed tomography
KW - Optease
KW - Pulmonary embolism
KW - Retrievable IVC filter
KW - Venous thromboembolism
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U2 - 10.1016/j.jvscit.2023.101187
DO - 10.1016/j.jvscit.2023.101187
M3 - Article
C2 - 37799830
AN - SCOPUS:85162106061
SN - 2468-4287
VL - 9
SP - 101187
JO - Journal of Vascular Surgery Cases and Innovative Techniques
JF - Journal of Vascular Surgery Cases and Innovative Techniques
IS - 3
M1 - 101187
ER -