Open surgical removal of a tilted and dislodged inferior vena cava filter through a lumbar branch without cavotomy

Nanette R. Reed, Peter Gloviczki, Andrew H. Stockland, Robert D. McBane

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Retrievable inferior vena cava (IVC) filters decrease the risk of pulmonary embolism. Retrieval is recommended but device migration, tilting, or perforation of the IVC by the filter may prevent successful removal. We present a case of a tilted IVC filter with the retrieval hook lodged in a lumbar vein preventing endovascular removal. A subcostal incision was used for open removal. The thrombosed lumbar vein was encircled with vessel loops, facilitating collapse of the filter. No cavotomy was made. This technique, with minimal variation, can be used to remove most nonthrombosed retrievable filters from the IVC, without the need for venotomy.

Original languageEnglish (US)
Pages (from-to)304-308
Number of pages5
JournalJournal of Vascular Surgery: Venous and Lymphatic Disorders
Volume1
Issue number3
DOIs
StatePublished - Jul 1 2013

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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