Use of a funneled sheath for embolic protection during removal of thrombosed Simon Nitinol filters

Inferior vena cava (IVC) filters should be removed when no longer needed, given their association with complications such as thrombosis of the IVC and lower extremities, fracture, migration, and growth into adjacent structures. While this is generally straightforward in the setting of retrievable fi...

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Main Authors: Joshua Cornman-Homonoff, Juan Carlos Perez Lozada, Angelo G. Marino, Hamid Mojibian
Format: Article
Language:English
Published: Galenos Publishing House 2023-09-01
Series:Diagnostic and Interventional Radiology
Subjects:
Online Access: http://www.dirjournal.org/archives/archive-detail/article-preview/use-of-a-funneled-sheath-for-embolic-protection-du/61581
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author Joshua Cornman-Homonoff
Juan Carlos Perez Lozada
Angelo G. Marino
Hamid Mojibian
author_facet Joshua Cornman-Homonoff
Juan Carlos Perez Lozada
Angelo G. Marino
Hamid Mojibian
author_sort Joshua Cornman-Homonoff
collection DOAJ
description Inferior vena cava (IVC) filters should be removed when no longer needed, given their association with complications such as thrombosis of the IVC and lower extremities, fracture, migration, and growth into adjacent structures. While this is generally straightforward in the setting of retrievable filters, permanent filters present more of a challenge. In fact, many operators will not attempt to do so for fear of intraprocedural complications, among them, filter fracture and fragment embolization. Despite this, leaving the filters in situ places patients at risk of the complications described above. Here, the authors illustrate a novel technique for retrieving permanent filters using a funneled sheath to protect against embolization.
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spelling doaj.art-00a03ab17c2442589c9447e6f51d757a2023-09-06T11:33:41ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122023-09-0129573373510.4274/dir.2023.23226713049054Use of a funneled sheath for embolic protection during removal of thrombosed Simon Nitinol filtersJoshua Cornman-Homonoff0Juan Carlos Perez Lozada1Angelo G. Marino2Hamid Mojibian3 Department of Radiology and Biomedical Imaging, Division of Interventional Radiology, Yale University School of Medicine, New Haven, United States Department of Radiology and Biomedical Imaging, Division of Interventional Radiology, Yale University School of Medicine, New Haven, United States Department of Radiology and Biomedical Imaging, Division of Interventional Radiology, Yale University School of Medicine, New Haven, United States Department of Radiology and Biomedical Imaging, Division of Interventional Radiology, Yale University School of Medicine, New Haven, United States Inferior vena cava (IVC) filters should be removed when no longer needed, given their association with complications such as thrombosis of the IVC and lower extremities, fracture, migration, and growth into adjacent structures. While this is generally straightforward in the setting of retrievable filters, permanent filters present more of a challenge. In fact, many operators will not attempt to do so for fear of intraprocedural complications, among them, filter fracture and fragment embolization. Despite this, leaving the filters in situ places patients at risk of the complications described above. Here, the authors illustrate a novel technique for retrieving permanent filters using a funneled sheath to protect against embolization. http://www.dirjournal.org/archives/archive-detail/article-preview/use-of-a-funneled-sheath-for-embolic-protection-du/61581 anticoagulant therapydeep vein thrombosisinferior vena cava filterthrombolysisvenography
spellingShingle Joshua Cornman-Homonoff
Juan Carlos Perez Lozada
Angelo G. Marino
Hamid Mojibian
Use of a funneled sheath for embolic protection during removal of thrombosed Simon Nitinol filters
Diagnostic and Interventional Radiology
anticoagulant therapy
deep vein thrombosis
inferior vena cava filter
thrombolysis
venography
title Use of a funneled sheath for embolic protection during removal of thrombosed Simon Nitinol filters
title_full Use of a funneled sheath for embolic protection during removal of thrombosed Simon Nitinol filters
title_fullStr Use of a funneled sheath for embolic protection during removal of thrombosed Simon Nitinol filters
title_full_unstemmed Use of a funneled sheath for embolic protection during removal of thrombosed Simon Nitinol filters
title_short Use of a funneled sheath for embolic protection during removal of thrombosed Simon Nitinol filters
title_sort use of a funneled sheath for embolic protection during removal of thrombosed simon nitinol filters
topic anticoagulant therapy
deep vein thrombosis
inferior vena cava filter
thrombolysis
venography
url http://www.dirjournal.org/archives/archive-detail/article-preview/use-of-a-funneled-sheath-for-embolic-protection-du/61581
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