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Inferior Vena Cava Filter Retrieval: Patient Selection, Procedural Planning, and Postprocedural Complications

2020; American Roentgen Ray Society; Volume: 215; Issue: 4 Linguagem: Inglês

10.2214/ajr.19.22387

1546-3141

Simer Grewal, Robert J. Lewandowski, Robert K. Ryu, Kush Desai,

Hemodynamic Monitoring and Therapy

OBJECTIVE. Utilization of retrievable inferior vena cava filters (rIVCFs) has come under increased scrutiny because of historically high rates of placement, generalized lack of retrieval when the inferior vena cava filter (IVCF) is no longer indicated, and reports of device-related complications. These events have led to an increased interest in IVCF retrieval, including the development of advanced endovascular retrieval techniques and the proliferation of specialized clinical practices for rIVCFs. We aim to describe the indications for IVCF retrieval, patient selection, procedural planning, and procedural complications and management. CONCLUSION. IVCFs continue to have a role in the prevention of pulmonary embolism in select patients. Rising awareness of device-related complications paired with historically low retrieval rates has prompted renewed emphasis and interest in filter retrieval. Diligent follow-up and procedural planning permit prompt and safe filter retrieval.