Biopsy Forceps-Assisted Loop Snare Technique for Complex Retrieval of Inferior Vena Cava Filter

Abstract

Severe tilt with embedded hooks is a common obstacle to successful inferior vena cava (IVC) filter retrieval. We present a case for which the biopsy forceps-assisted loop snare technique was successfully used to retrieve filters with hooks embedded in the IVC wall for which conventional retrieval failed. The technique is effective and provides a less-invasive, low-cost method for the complex retrieval of IVC filters.

Introduction:

Severe tilt with embedded hooks is a common obstacle to successful inferior vena cava (IVC) filter retrieval.

Methods:

Disposal biopsy forceps were used to remodel the filter hook in the center position to release the embedded hook from the caval wall.

Results:

The biopsy forceps-assisted loop snare technique was successfully used to retrieve filters with hooks embedded in the IVC wall.

Conclusion:

The biopsy forceps-assisted loop snare technique we present here offers a new solution for the complex retrieval of IVC filters. This technique may prove useful in cases where standard techniques at filter retrieval fail.

Keywords

Inferior vena cava filter retrieval biopsy forceps loop

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References

Liu

Bai

Liu

Chen

. Effect of inferior vena cava filters on pulmonary embolism-related mortality and major complications: a systematic review and meta-analysis of randomized controlled trials. J Vasc Surg Venous Lymphat Disord. 2021;9(3):792-800.e2.

Doody

Noë

Given

, et al. Assessment of snared-loop technique when standard retrieval of inferior vena cava filters fails. Cardiovasc Intervent Radiol. 2009;32(1):145-149.

Rubenstein

Chun

Chew

Binkert

. Loop-snare technique for difficult inferior vena cava filter retrievals. J Vasc Intervent Radiol. 2007;18(10):1315-1318.

Wang

Guan

Wang

. A modified wire-loop snare technique for the retrieval of inferior vena cava filter with embedded hook. SAGE Open Med Case Rep. 2017;5:2050313X17745443.

Qiu

Xiang

, et al. Guidewire loop dissection technique for filter strut endothelialization. Ann Vasc Surg. 2019;60:475.e1-475.e4.

Stavropoulos

Mondschein

Shlansky-Goldberg

Sudheendra

Trerotola

. Retrieval of tip-embedded inferior vena cava filters by using the endobronchial forceps technique: experience at a single institution. Radiology. 2015;275(3):900-907.

Tavri

Patel

Kavali

Irani

Ganguli

Walker

. Endobronchial forceps-assisted complex retrieval of inferior vena cava filters. J Vasc Surg Venous Lymphat Disord. 2019;7(3):413-419.

Kuo

Bostaph

Loh

Frisoli

Kee

. Retrieval of trapped Günther Tulip inferior vena cava filters: snare-over-guide wire loop technique. J Vasc Intervent Radiol. 2006;17(11 Pt 1):1845-1849.

Gotra

Doucet

Delli Fraine

, et al. Predicting inferior vena cava (IVC) filter retrievability using positional parameters: a comparative study of various filter types. Diagn Interv Imaging. 2018;99(10):615-624.

10.

Glocker

Novak

Matthews

, et al. Factors affecting Cook Gunther Tulip and Cook Celect inferior vena cava filter retrieval success. J Vasc Surg Venous Lymphat Disord. 2014;2(1):21-25.

11.

Ding

Dong

Liu

Jiang

. A modified loop snare technique for difficult retrievals of inferior vena cava filter and migrated coil. Int Heart J. 2019;60(1):93-99.

12.

Jia

Fuller

McKinney

, et al. Utility of retrievable inferior vena cava filters: a systematic literature review and analysis of the reasons for nonretrieval of filters with temporary indications. Cardiovasc Intervent Radiol. 2018;41(5):675-682.

13.

Kuo

Odegaard

Rosenberg

Hofmann

. Laser-assisted removal of embedded vena cava filters: A 5-year first-in-human study. Chest. 2017;151(2):417-424.

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