A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling "closed Cell" Inferior Vena Cava Filter Designs

Jeffrey Forris Beecham Chick, S. William Stavropoulos, Benjamin J. Shin, Richard D. Shlansky-Goldberg, Jeffrey I. Mondschein, Deepak Sudheendra, Gregory J. Nadolski, Micah M. Watts, Scott O. Trerotola

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose To report results of a 16-F sheath/endobronchial forceps combination in retrieval of "closed cell" inferior vena cava (IVC) filter designs with prolonged dwell times of ≥ 60 days. Materials and Methods Forceps retrieval of selected IVC filters using a 16-F 45-cm sheath was performed in 35 patients (25 women and 10 men). Patients presented with filters that were no longer needed without (n = 10) or with (n = 21) prior failed retrieval, caval thrombosis before lysis (n = 3), and back pain (n = 1). Filter designs included 19 Günther Tulip (54%), 10 Option (29%), and six OptEase (17%). Mean dwell time was 977 days. Imaging characteristics, technical success, fluoroscopy time, and complications were recorded. Results Filters included 20 tip-embedded, 6 tip-adherent, 4 fractured, and 6 containing thrombus. All were strut and wall-embedded. Initial snare failures occurred in 8 filters because of hook straightening (n = 4), adherent material (n = 2), snare breakage (n = 1), and filter tilt (n = 1). The 16-F sheath/forceps combination was 100% successful in removing filters. In 1 patient, 2 extravascular fragments could not be retrieved. Median fluoroscopy time, excluding 3 extended lysis procedures, was 8 minutes. Minor caval abnormalities, including caval spasm and caval defects, were noted in 17 patients, and filter fracture occurred in 2 patients. No major complications occurred. Conclusions A high rate of retrieval for closed cell long-dwelling strut and wall-embedded filters may be achieved using a 16-F sheath/endobronchial forceps combination.

Original languageEnglish (US)
Pages (from-to)1027-1033
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume27
Issue number7
DOIs
StatePublished - Jul 1 2016

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Vena Cava Filters
Venae Cavae
Surgical Instruments
Fluoroscopy
Thrombosis
Tulipa
Spasm
Back Pain

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Chick, Jeffrey Forris Beecham ; Stavropoulos, S. William ; Shin, Benjamin J. ; Shlansky-Goldberg, Richard D. ; Mondschein, Jeffrey I. ; Sudheendra, Deepak ; Nadolski, Gregory J. ; Watts, Micah M. ; Trerotola, Scott O. / A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling "closed Cell" Inferior Vena Cava Filter Designs. In: Journal of Vascular and Interventional Radiology. 2016 ; Vol. 27, No. 7. pp. 1027-1033.
@article{859569171bcd48689235500460adc227,
title = "A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling {"}closed Cell{"} Inferior Vena Cava Filter Designs",
abstract = "Purpose To report results of a 16-F sheath/endobronchial forceps combination in retrieval of {"}closed cell{"} inferior vena cava (IVC) filter designs with prolonged dwell times of ≥ 60 days. Materials and Methods Forceps retrieval of selected IVC filters using a 16-F 45-cm sheath was performed in 35 patients (25 women and 10 men). Patients presented with filters that were no longer needed without (n = 10) or with (n = 21) prior failed retrieval, caval thrombosis before lysis (n = 3), and back pain (n = 1). Filter designs included 19 G{\"u}nther Tulip (54{\%}), 10 Option (29{\%}), and six OptEase (17{\%}). Mean dwell time was 977 days. Imaging characteristics, technical success, fluoroscopy time, and complications were recorded. Results Filters included 20 tip-embedded, 6 tip-adherent, 4 fractured, and 6 containing thrombus. All were strut and wall-embedded. Initial snare failures occurred in 8 filters because of hook straightening (n = 4), adherent material (n = 2), snare breakage (n = 1), and filter tilt (n = 1). The 16-F sheath/forceps combination was 100{\%} successful in removing filters. In 1 patient, 2 extravascular fragments could not be retrieved. Median fluoroscopy time, excluding 3 extended lysis procedures, was 8 minutes. Minor caval abnormalities, including caval spasm and caval defects, were noted in 17 patients, and filter fracture occurred in 2 patients. No major complications occurred. Conclusions A high rate of retrieval for closed cell long-dwelling strut and wall-embedded filters may be achieved using a 16-F sheath/endobronchial forceps combination.",
author = "Chick, {Jeffrey Forris Beecham} and Stavropoulos, {S. William} and Shin, {Benjamin J.} and Shlansky-Goldberg, {Richard D.} and Mondschein, {Jeffrey I.} and Deepak Sudheendra and Nadolski, {Gregory J.} and Watts, {Micah M.} and Trerotola, {Scott O.}",
year = "2016",
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Chick, JFB, Stavropoulos, SW, Shin, BJ, Shlansky-Goldberg, RD, Mondschein, JI, Sudheendra, D, Nadolski, GJ, Watts, MM & Trerotola, SO 2016, 'A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling "closed Cell" Inferior Vena Cava Filter Designs', Journal of Vascular and Interventional Radiology, vol. 27, no. 7, pp. 1027-1033. https://doi.org/10.1016/j.jvir.2016.03.047

A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling "closed Cell" Inferior Vena Cava Filter Designs. / Chick, Jeffrey Forris Beecham; Stavropoulos, S. William; Shin, Benjamin J.; Shlansky-Goldberg, Richard D.; Mondschein, Jeffrey I.; Sudheendra, Deepak; Nadolski, Gregory J.; Watts, Micah M.; Trerotola, Scott O.

In: Journal of Vascular and Interventional Radiology, Vol. 27, No. 7, 01.07.2016, p. 1027-1033.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A 16-F Sheath with Endobronchial Forceps Improves Reported Retrieval Success of Long-Dwelling "closed Cell" Inferior Vena Cava Filter Designs

AU - Chick, Jeffrey Forris Beecham

AU - Stavropoulos, S. William

AU - Shin, Benjamin J.

AU - Shlansky-Goldberg, Richard D.

AU - Mondschein, Jeffrey I.

AU - Sudheendra, Deepak

AU - Nadolski, Gregory J.

AU - Watts, Micah M.

AU - Trerotola, Scott O.

PY - 2016/7/1

Y1 - 2016/7/1

N2 - Purpose To report results of a 16-F sheath/endobronchial forceps combination in retrieval of "closed cell" inferior vena cava (IVC) filter designs with prolonged dwell times of ≥ 60 days. Materials and Methods Forceps retrieval of selected IVC filters using a 16-F 45-cm sheath was performed in 35 patients (25 women and 10 men). Patients presented with filters that were no longer needed without (n = 10) or with (n = 21) prior failed retrieval, caval thrombosis before lysis (n = 3), and back pain (n = 1). Filter designs included 19 Günther Tulip (54%), 10 Option (29%), and six OptEase (17%). Mean dwell time was 977 days. Imaging characteristics, technical success, fluoroscopy time, and complications were recorded. Results Filters included 20 tip-embedded, 6 tip-adherent, 4 fractured, and 6 containing thrombus. All were strut and wall-embedded. Initial snare failures occurred in 8 filters because of hook straightening (n = 4), adherent material (n = 2), snare breakage (n = 1), and filter tilt (n = 1). The 16-F sheath/forceps combination was 100% successful in removing filters. In 1 patient, 2 extravascular fragments could not be retrieved. Median fluoroscopy time, excluding 3 extended lysis procedures, was 8 minutes. Minor caval abnormalities, including caval spasm and caval defects, were noted in 17 patients, and filter fracture occurred in 2 patients. No major complications occurred. Conclusions A high rate of retrieval for closed cell long-dwelling strut and wall-embedded filters may be achieved using a 16-F sheath/endobronchial forceps combination.

AB - Purpose To report results of a 16-F sheath/endobronchial forceps combination in retrieval of "closed cell" inferior vena cava (IVC) filter designs with prolonged dwell times of ≥ 60 days. Materials and Methods Forceps retrieval of selected IVC filters using a 16-F 45-cm sheath was performed in 35 patients (25 women and 10 men). Patients presented with filters that were no longer needed without (n = 10) or with (n = 21) prior failed retrieval, caval thrombosis before lysis (n = 3), and back pain (n = 1). Filter designs included 19 Günther Tulip (54%), 10 Option (29%), and six OptEase (17%). Mean dwell time was 977 days. Imaging characteristics, technical success, fluoroscopy time, and complications were recorded. Results Filters included 20 tip-embedded, 6 tip-adherent, 4 fractured, and 6 containing thrombus. All were strut and wall-embedded. Initial snare failures occurred in 8 filters because of hook straightening (n = 4), adherent material (n = 2), snare breakage (n = 1), and filter tilt (n = 1). The 16-F sheath/forceps combination was 100% successful in removing filters. In 1 patient, 2 extravascular fragments could not be retrieved. Median fluoroscopy time, excluding 3 extended lysis procedures, was 8 minutes. Minor caval abnormalities, including caval spasm and caval defects, were noted in 17 patients, and filter fracture occurred in 2 patients. No major complications occurred. Conclusions A high rate of retrieval for closed cell long-dwelling strut and wall-embedded filters may be achieved using a 16-F sheath/endobronchial forceps combination.

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U2 - 10.1016/j.jvir.2016.03.047

DO - 10.1016/j.jvir.2016.03.047

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C2 - 27241396

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VL - 27

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EP - 1033

JO - Journal of Vascular and Interventional Radiology

JF - Journal of Vascular and Interventional Radiology

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