Inferior Vena Cava (IVC) Filter
Indications for IVC Filter
Types of IVC Filters
- Cook Günther Tulip: retrievable
- B Braun Tempofilter IVC filter: retrievable
- B Braun VenaTech LGM IVC filter: no longer sold
- B Braun VenaTech LP IVC filter
- Bard G2x IVC: retrievable, unlimited indwell time
- Bard G2: retrievable
- Cook Gianturco-Roehm Bird’s Nest IVC Filter: permanent
- Cook Celect: retrievable
- Cordis OptEase IVC filter: retrievable, 23 day indwell time
- Cordis TrapEase IVC filter
- Mobin-Uddin Umbrella IVC filter: no longer sold
- ALN IVC filter: retrievable
- Rex Medical Option IVC filter: retrievable
- Rafael Medical SafeFlo Vena Cava Filter: for permanent implantation
Complications of IVC Filter Placement
- Acute Damage to IVC
- Acute PE
- Extravasation of Contrast Material at Time of Vena Cavagram
- Hematoma at Vascular Access Site
- Hemorrhage
- Thrombosis or Stenosis at Implant Site
- Wound Infection at Vascular Access Site
- Death
Studies of Günther Tulip IVC Filter Removal
- Günther Tulip Filter Retrievability multicenter Study Including CT Follow-up: Final Report. JVIR 2006; 17: 1017-1023
- Filters Inserted: 41
- Retrieval Attempts: 26
- Successful Retrievals: 26
- Range (Days): 2–20
- Mean (Days): 11.4
- Adverse Events: none
- Inferior vena cava filter removal after 475-day implantation. JVIR 2005; 16: 1156-1158
- Filters Inserted: 1
- Retrieval Attempts: 1
- Successful Retrievals: 1
- Range (Days): 475
- Mean (Days): 475
- Adverse Events: none
- Inferior vena cava filter removal after 317-day 1 implantation. JVIR 2005; 16: 1395-1398
- Filters Inserted: 1
- Retrieval Attempts: 1
- Range (Days): 317
- Mean (Days): 317
- Adverse Events: mild caval stenosis following 317-day retrieval; follow-up Ok
- Retrievable Günther Tulip Filter-experience in 188 cases. paper. 2005 Annual meeting Society of Interventional Radiology
- Filters Inserted: 188
- Retrieval Attempts: 122
- Successful Retrievals: 110
- Range (Days): 1–309
- Mean (Days): 59.6
- Adverse Events: 1) mild IVC stenosis 2) Filter fractured during retrieval and small filter fragment embolized to lung
- Retrievable VCFs in high Risk Surgical patients: A Study in Safety and efficacy. 2006 manuscript submitted to Journal of Vascular Surgery
- Filters Inserted: 60
- Retrieval Attempts: 54
- Successful Retrievals: 52
- Range (Days): 32–162
- Mean (Days): 63
- Adverse Events: One patient had non-fatal pe with filter in place. Three patients required second retrieval attempt. All three were successful
- Extended interval for retrieval of Günther Tulip filters. JVIR 2004; 15: 1257-1262
- Filters Inserted: 53
- Retrieval Attempts: 19
- Successful Retrievals: 16
- Range (Days): 7–126
- Mean (Days): 34
- Adverse Events: none
- Current trends in vena caval filtration with the introduction of a retrievable filter at a level I trauma center. J Trauma. 2004; 57(1): 32-36
- Filters Inserted: 58
- Retrieval Attempts: 14
- Successful Retrievals: 13
- Range (Days): 11–41
- Mean (Days): 19
- Adverse Events: one patient had a non-fatal PE after filter retrieval
