A 7-year retrospective review of the technical success of the “low-profile” hangman technique for complicated inferior vena cava (IVC) filter retrievals
PURPOSEWe aimed to assess the safety and effectiveness of a modified low-profile hangman technique.METHODSWe performed a retrospective review of all filter retrieval procedures performed at a major trauma center, from 2012 to 2019. Records were reviewed for patient demographics, device type, device...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2020-03-01
|
| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/a-7-year-retrospective-review-of-the-technical-suc/54809
|
| _version_ | 1797691315807322112 |
|---|---|
| author | Heather Kate Moriarty Elissa Marshall Warren Clements |
| author_facet | Heather Kate Moriarty Elissa Marshall Warren Clements |
| author_sort | Heather Kate Moriarty |
| collection | DOAJ |
| description | PURPOSEWe aimed to assess the safety and effectiveness of a modified low-profile hangman technique.METHODSWe performed a retrospective review of all filter retrieval procedures performed at a major trauma center, from 2012 to 2019. Records were reviewed for patient demographics, device type, device dwell time, device tilt, embedded hook, success of device retrieval, evidence of caval injury and occurrence of complications.RESULTSFrom 2012 to 2019 there were 473 filter retrieval attempts. An advanced technique was documented in 66 (14%). The low-profile hangman technique alone was documented in 23 procedures (5% of all procedures, 35% of advanced technique procedures). Average screening time was 28 minutes. At the time of retrieval attempt, 9 patients (41%) were anticoagulated. The hangman technique was employed as isolated maneuver in 23 patients and was successful on initial attempt in 22 cases (96%). The average dwell time of filters retrieved by the hangman technique was 228 days (range, 40–903 days; median, 196 days). No procedure-related complications occurred.CONCLUSIONThe retrieval of IVC filters is an important part of offering an IVC filter service. Advanced techniques to retrieve caval filters are multiple, and the risk of complications is increased in these cases. We demonstrate the safety and effectiveness of a new modified and lower-profile hangman technique. This new technique could be performed with only an 11 French venous access sheath using off-the-shelf equipment and it remains a cost-effective approach to complex filter retrieval. |
| first_indexed | 2024-03-12T02:11:41Z |
| format | Article |
| id | doaj.art-ead741f659b546c29e6de094051cd62c |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:11:41Z |
| publishDate | 2020-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-ead741f659b546c29e6de094051cd62c2023-09-06T13:00:38ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122020-03-0126211812310.5152/dir.2019.1922313049054A 7-year retrospective review of the technical success of the “low-profile” hangman technique for complicated inferior vena cava (IVC) filter retrievalsHeather Kate Moriarty0Elissa Marshall1Warren Clements2 Department of Radiology, Alfred Health, Melbourne, Australia Department of Radiology, Alfred Health, Melbourne, Australia Department of Surgery, Monash University, Clayton, Australia PURPOSEWe aimed to assess the safety and effectiveness of a modified low-profile hangman technique.METHODSWe performed a retrospective review of all filter retrieval procedures performed at a major trauma center, from 2012 to 2019. Records were reviewed for patient demographics, device type, device dwell time, device tilt, embedded hook, success of device retrieval, evidence of caval injury and occurrence of complications.RESULTSFrom 2012 to 2019 there were 473 filter retrieval attempts. An advanced technique was documented in 66 (14%). The low-profile hangman technique alone was documented in 23 procedures (5% of all procedures, 35% of advanced technique procedures). Average screening time was 28 minutes. At the time of retrieval attempt, 9 patients (41%) were anticoagulated. The hangman technique was employed as isolated maneuver in 23 patients and was successful on initial attempt in 22 cases (96%). The average dwell time of filters retrieved by the hangman technique was 228 days (range, 40–903 days; median, 196 days). No procedure-related complications occurred.CONCLUSIONThe retrieval of IVC filters is an important part of offering an IVC filter service. Advanced techniques to retrieve caval filters are multiple, and the risk of complications is increased in these cases. We demonstrate the safety and effectiveness of a new modified and lower-profile hangman technique. This new technique could be performed with only an 11 French venous access sheath using off-the-shelf equipment and it remains a cost-effective approach to complex filter retrieval. http://www.dirjournal.org/archives/archive-detail/article-preview/a-7-year-retrospective-review-of-the-technical-suc/54809 |
| spellingShingle | Heather Kate Moriarty Elissa Marshall Warren Clements A 7-year retrospective review of the technical success of the “low-profile” hangman technique for complicated inferior vena cava (IVC) filter retrievals Diagnostic and Interventional Radiology |
| title | A 7-year retrospective review of the technical success of the “low-profile” hangman technique for complicated inferior vena cava (IVC) filter retrievals |
| title_full | A 7-year retrospective review of the technical success of the “low-profile” hangman technique for complicated inferior vena cava (IVC) filter retrievals |
| title_fullStr | A 7-year retrospective review of the technical success of the “low-profile” hangman technique for complicated inferior vena cava (IVC) filter retrievals |
| title_full_unstemmed | A 7-year retrospective review of the technical success of the “low-profile” hangman technique for complicated inferior vena cava (IVC) filter retrievals |
| title_short | A 7-year retrospective review of the technical success of the “low-profile” hangman technique for complicated inferior vena cava (IVC) filter retrievals |
| title_sort | 7 year retrospective review of the technical success of the low profile hangman technique for complicated inferior vena cava ivc filter retrievals |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/a-7-year-retrospective-review-of-the-technical-suc/54809
|
| work_keys_str_mv | AT heatherkatemoriarty a7yearretrospectivereviewofthetechnicalsuccessofthelowprofilehangmantechniqueforcomplicatedinferiorvenacavaivcfilterretrievals AT elissamarshall a7yearretrospectivereviewofthetechnicalsuccessofthelowprofilehangmantechniqueforcomplicatedinferiorvenacavaivcfilterretrievals AT warrenclements a7yearretrospectivereviewofthetechnicalsuccessofthelowprofilehangmantechniqueforcomplicatedinferiorvenacavaivcfilterretrievals AT heatherkatemoriarty 7yearretrospectivereviewofthetechnicalsuccessofthelowprofilehangmantechniqueforcomplicatedinferiorvenacavaivcfilterretrievals AT elissamarshall 7yearretrospectivereviewofthetechnicalsuccessofthelowprofilehangmantechniqueforcomplicatedinferiorvenacavaivcfilterretrievals AT warrenclements 7yearretrospectivereviewofthetechnicalsuccessofthelowprofilehangmantechniqueforcomplicatedinferiorvenacavaivcfilterretrievals |