Bidirectional loop-snare technique for adherent inferior vena cava filter retrieval
Placement of a Günther Tulip Inferior Vena Cava (IVC) Filter™ (Cook, Bloomington, IN, USA) is an alternative treatment option to prevent pulmonary embolism in patients in whom anticoagulation therapy is contraindicated. Most patients require filter placement for only short periods, after which it ca...
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| Veröffentlicht in: | Journal of cardiology cases Jg. 20; H. 5; S. 161 - 163 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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Elsevier Ltd
01.11.2019
Japanese College of Cardiology |
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| ISSN: | 1878-5409, 1878-5409 |
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| Abstract | Placement of a Günther Tulip Inferior Vena Cava (IVC) Filter™ (Cook, Bloomington, IN, USA) is an alternative treatment option to prevent pulmonary embolism in patients in whom anticoagulation therapy is contraindicated. Most patients require filter placement for only short periods, after which it can be retrieved. IVC filter retrieval becomes more difficult as the indwelling time increases. We developed a new method to retrieve the Günther Tulip IVC Filter™, namely, the bidirectional loop-snare technique (BLT). The key to the BLT procedure is to use 2 snares from both the jugular and femoral access routes. The jugular snare catches the filter hook and the femoral snare relieves the adhesion between the filter leg and IVC wall. Pulling from both the jugular and femoral ends increases the power to retrieve the IVC filter, and leads to successful filter retrieval.
<Learning objective: An inferior vena cava (IVC) filter is placed in patients with a risk of pulmonary embolism. Most patients require filter placement for only short periods, after which it can be retrieved. Occasionally, IVC filter retrieval is difficult because of long-term placement. We developed a novel, simple method for filter retrieval, using a bidirectional approach and two snares simultaneously.> |
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| AbstractList | Placement of a Günther Tulip Inferior Vena Cava (IVC) Filter™ (Cook, Bloomington, IN, USA) is an alternative treatment option to prevent pulmonary embolism in patients in whom anticoagulation therapy is contraindicated. Most patients require filter placement for only short periods, after which it can be retrieved. IVC filter retrieval becomes more difficult as the indwelling time increases. We developed a new method to retrieve the Günther Tulip IVC Filter™, namely, the bidirectional loop-snare technique (BLT). The key to the BLT procedure is to use 2 snares from both the jugular and femoral access routes. The jugular snare catches the filter hook and the femoral snare relieves the adhesion between the filter leg and IVC wall. Pulling from both the jugular and femoral ends increases the power to retrieve the IVC filter, and leads to successful filter retrieval.
<Learning objective: An inferior vena cava (IVC) filter is placed in patients with a risk of pulmonary embolism. Most patients require filter placement for only short periods, after which it can be retrieved. Occasionally, IVC filter retrieval is difficult because of long-term placement. We developed a novel, simple method for filter retrieval, using a bidirectional approach and two snares simultaneously.> Placement of a Günther Tulip Inferior Vena Cava (IVC) Filter™ (Cook, Bloomington, IN, USA) is an alternative treatment option to prevent pulmonary embolism in patients in whom anticoagulation therapy is contraindicated. Most patients require filter placement for only short periods, after which it can be retrieved. IVC filter retrieval becomes more difficult as the indwelling time increases. We developed a new method to retrieve the Günther Tulip IVC Filter™, namely, the bidirectional loop-snare technique (BLT). The key to the BLT procedure is to use 2 snares from both the jugular and femoral access routes. The jugular snare catches the filter hook and the femoral snare relieves the adhesion between the filter leg and IVC wall. Pulling from both the jugular and femoral ends increases the power to retrieve the IVC filter, and leads to successful filter retrieval. <Learning objective: An inferior vena cava (IVC) filter is placed in patients with a risk of pulmonary embolism. Most patients require filter placement for only short periods, after which it can be retrieved. Occasionally, IVC filter retrieval is difficult because of long-term placement. We developed a novel, simple method for filter retrieval, using a bidirectional approach and two snares simultaneously.> Placement of a Günther Tulip Inferior Vena Cava (IVC) Filter™ (Cook, Bloomington, IN, USA) is an alternative treatment option to prevent pulmonary embolism in patients in whom anticoagulation therapy is contraindicated. Most patients require filter placement for only short periods, after which it can be retrieved. IVC filter retrieval becomes more difficult as the indwelling time increases. We developed a new method to retrieve the Günther Tulip IVC Filter™, namely, the bidirectional loop-snare technique (BLT). The key to the BLT procedure is to use 2 snares from both the jugular and femoral access routes. The jugular snare catches the filter hook and the femoral snare relieves the adhesion between the filter leg and IVC wall. Pulling from both the jugular and femoral ends increases the power to retrieve the IVC filter, and leads to successful filter retrieval. <Learning objective: An inferior vena cava (IVC) filter is placed in patients with a risk of pulmonary embolism. Most patients require filter placement for only short periods, after which it can be retrieved. Occasionally, IVC filter retrieval is difficult because of long-term placement. We developed a novel, simple method for filter retrieval, using a bidirectional approach and two snares simultaneously.>.Placement of a Günther Tulip Inferior Vena Cava (IVC) Filter™ (Cook, Bloomington, IN, USA) is an alternative treatment option to prevent pulmonary embolism in patients in whom anticoagulation therapy is contraindicated. Most patients require filter placement for only short periods, after which it can be retrieved. IVC filter retrieval becomes more difficult as the indwelling time increases. We developed a new method to retrieve the Günther Tulip IVC Filter™, namely, the bidirectional loop-snare technique (BLT). The key to the BLT procedure is to use 2 snares from both the jugular and femoral access routes. The jugular snare catches the filter hook and the femoral snare relieves the adhesion between the filter leg and IVC wall. Pulling from both the jugular and femoral ends increases the power to retrieve the IVC filter, and leads to successful filter retrieval. <Learning objective: An inferior vena cava (IVC) filter is placed in patients with a risk of pulmonary embolism. Most patients require filter placement for only short periods, after which it can be retrieved. Occasionally, IVC filter retrieval is difficult because of long-term placement. We developed a novel, simple method for filter retrieval, using a bidirectional approach and two snares simultaneously.>. |
| Author | Shokawa, Tomoki Tsujiyama, Shuji Akazawa, Ryota Ishibashi, Naoki Fujiwara, Takashi Fujii, Takashi Watanabe, Yoshikazu Maeda, Koji |
| AuthorAffiliation | a Department of Cardiology, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan c Section of Clinical Research and Laboratory, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan b Department of Cardioendovascular Treatment, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan |
| AuthorAffiliation_xml | – name: b Department of Cardioendovascular Treatment, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan – name: c Section of Clinical Research and Laboratory, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan – name: a Department of Cardiology, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan |
| Author_xml | – sequence: 1 givenname: Ryota surname: Akazawa fullname: Akazawa, Ryota organization: Department of Cardiology, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan – sequence: 2 givenname: Naoki surname: Ishibashi fullname: Ishibashi, Naoki organization: Department of Cardiology, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan – sequence: 3 givenname: Takashi surname: Fujiwara fullname: Fujiwara, Takashi organization: Department of Cardiology, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan – sequence: 4 givenname: Yoshikazu surname: Watanabe fullname: Watanabe, Yoshikazu organization: Department of Cardiology, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan – sequence: 5 givenname: Tomoki surname: Shokawa fullname: Shokawa, Tomoki organization: Department of Cardiology, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan – sequence: 6 givenname: Koji surname: Maeda fullname: Maeda, Koji organization: Department of Cardiology, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan – sequence: 7 givenname: Shuji surname: Tsujiyama fullname: Tsujiyama, Shuji organization: Department of Cardioendovascular Treatment, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan – sequence: 8 givenname: Takashi surname: Fujii fullname: Fujii, Takashi organization: Section of Clinical Research and Laboratory, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan |
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| Cites_doi | 10.1016/j.jvir.2009.03.033 10.1016/j.jvsv.2013.04.005 10.1016/j.jacr.2010.12.021 10.5758/vsi.2016.32.4.175 10.1016/j.jvir.2011.08.024 |
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| Keywords | Retrieval Loop-snare Günther tulip |
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| References | U.S. Food and Drug Administration. Inferior vena cava (IVC) filters: initial communication: risk of adverse events with long term use. [Posted 9 August 9 2010]. Hong, Park, Jeon, Cho, Hong, Shin (bib0020) 2016; 32 Morales, Li, Irony, Ibrahim, Moynahan, Cavanaugh (bib0025) 2013; 1 Angel, Tapson, Galgon, Restrepo, Kaufman (bib0030) 2011; 22 Duszak, Parker, Levine, Rao (bib0010) 2011; 8 Smouse, Rosenthal, Thuong, Knox, Dixon, Voorhees (bib0015) 2009; 20 . 10.1016/j.jccase.2019.07.009_bib0005 Duszak (10.1016/j.jccase.2019.07.009_bib0010) 2011; 8 Angel (10.1016/j.jccase.2019.07.009_bib0030) 2011; 22 Smouse (10.1016/j.jccase.2019.07.009_bib0015) 2009; 20 Hong (10.1016/j.jccase.2019.07.009_bib0020) 2016; 32 Morales (10.1016/j.jccase.2019.07.009_bib0025) 2013; 1 |
| References_xml | – volume: 32 start-page: 175 year: 2016 end-page: 179 ident: bib0020 article-title: Can pre-retrieval computed tomography predict the difficult removal of an implementing an inferior vena cava filter? publication-title: Vasc Specialist Int – volume: 8 start-page: 483 year: 2011 end-page: 489 ident: bib0010 article-title: Placement and removal of inferior vena cava filters: national trends in the medicare population publication-title: J Am Coll Radiol – volume: 1 start-page: 376 year: 2013 end-page: 384 ident: bib0025 article-title: Decision analysis of retrievable inferior vena cava filters in patients without pulmonary embolism publication-title: J Vasc Surg Venous Lymphat Disord – reference: U.S. Food and Drug Administration. Inferior vena cava (IVC) filters: initial communication: risk of adverse events with long term use. [Posted 9 August 9 2010]. – volume: 20 start-page: 871 year: 2009 end-page: 877 ident: bib0015 article-title: Long-term retrieval success rate profile for the Günther Tulip vena cava filter publication-title: J Vasc Interv Radiol – volume: 22 year: 2011 ident: bib0030 article-title: Systematic review of the use of retrievable inferior vena cava filters publication-title: J Vasc Interv Radiol – reference: . – volume: 20 start-page: 871 year: 2009 ident: 10.1016/j.jccase.2019.07.009_bib0015 article-title: Long-term retrieval success rate profile for the Günther Tulip vena cava filter publication-title: J Vasc Interv Radiol doi: 10.1016/j.jvir.2009.03.033 – volume: 1 start-page: 376 year: 2013 ident: 10.1016/j.jccase.2019.07.009_bib0025 article-title: Decision analysis of retrievable inferior vena cava filters in patients without pulmonary embolism publication-title: J Vasc Surg Venous Lymphat Disord doi: 10.1016/j.jvsv.2013.04.005 – volume: 8 start-page: 483 year: 2011 ident: 10.1016/j.jccase.2019.07.009_bib0010 article-title: Placement and removal of inferior vena cava filters: national trends in the medicare population publication-title: J Am Coll Radiol doi: 10.1016/j.jacr.2010.12.021 – volume: 32 start-page: 175 year: 2016 ident: 10.1016/j.jccase.2019.07.009_bib0020 article-title: Can pre-retrieval computed tomography predict the difficult removal of an implementing an inferior vena cava filter? publication-title: Vasc Specialist Int doi: 10.5758/vsi.2016.32.4.175 – ident: 10.1016/j.jccase.2019.07.009_bib0005 – volume: 22 year: 2011 ident: 10.1016/j.jccase.2019.07.009_bib0030 article-title: Systematic review of the use of retrievable inferior vena cava filters publication-title: J Vasc Interv Radiol doi: 10.1016/j.jvir.2011.08.024 |
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