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Indications and Outcomes of Open Inferior Vena Cava Filter Removal.
Charlton-Ouw, Kristofer M; Afaq, Shaikh; Leake, Samuel S; Sandhu, Harleen K; Sola, Cristina N; Saqib, Naveed U; Azizzadeh, Ali; Safi, Hazim J.
Afiliación
  • Charlton-Ouw KM; Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, TX; Memorial Hermann Hospital System, Houston, TX. Electronic address: kristofer.charltonouw@uth.tmc.edu.
  • Afaq S; Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, TX; Memorial Hermann Hospital System, Houston, TX.
  • Leake SS; Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, TX.
  • Sandhu HK; Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, TX.
  • Sola CN; Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, TX.
  • Saqib NU; Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, TX; Memorial Hermann Hospital System, Houston, TX.
  • Azizzadeh A; Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, TX; Memorial Hermann Hospital System, Houston, TX.
  • Safi HJ; Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, TX; Memorial Hermann Hospital System, Houston, TX.
Ann Vasc Surg ; 46: 205.e5-205.e11, 2018 Jan.
Article en En | MEDLINE | ID: mdl-28602896
ABSTRACT

BACKGROUND:

Despite recommendations for retrieval of inferior vena cava (IVC) filters, most are not removed in a timely manner. Longer IVC filter dwell times are associated with caval wall perforation and tilting that make percutaneous retrieval more difficult. Open IVC filter removal is generally reserved for patients with symptoms referable to the filter, such as chronic back and abdominal pain. We present our management algorithm and review of cases of open IVC filter removal.

METHODS:

Patients referred for management of implanted IVC filters from May 2010 to May 2016 were included. Demographic and imaging were reviewed for cases requiring open surgical removal.

RESULTS:

There were 221 percutaneous retrieval attempts in 218 patients. Successful retrieval occurred in 196 (89%) attempts. There were 7 patients who had open surgical IVC filter removal after failure of percutaneous retrieval. One patient had 2 filters and another had 3 filters. Except for 1 case with complications during the percutaneous retrieval procedure, the remaining patients all suffered from back or abdominal pain. All had significant filter strut penetration through the caval wall into adjacent structures. Postoperatively, all patients had relief of pain. There were no deaths and 1 patient had a minor ileus that spontaneously resolved.

CONCLUSIONS:

Patients who fail percutaneous IVC filter retrieval can expect low morbidity and prompt resolution of symptoms after open surgical removal via minilaparotomy.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Vena Cava Inferior / Filtros de Vena Cava / Implantación de Prótesis / Remoción de Dispositivos Tipo de estudio: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Ann Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2018 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Vena Cava Inferior / Filtros de Vena Cava / Implantación de Prótesis / Remoción de Dispositivos Tipo de estudio: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Ann Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2018 Tipo del documento: Article