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 language||English (US)|
|Number of pages||5|
|Journal||Journal of Vascular Surgery: Venous and Lymphatic Disorders|
|State||Published - Jul 1 2013|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine