Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 4/2013

01-08-2013 | Technical Note

Difficult OptEase Filter Retrievals After Prolonged Indwelling Times

Authors: Thuong G. Van Ha, Lisa Kang, Jonathan Lorenz, Steven Zangan, Rakesh Navuluri, Christopher Straus, Brian Funaki

Published in: CardioVascular and Interventional Radiology | Issue 4/2013

Login to get access

Abstract

Purpose

The OptEase vena cave filter (Cordis, Piscataway, NJ) is commercially available as a retrievable or permanent filter with short recommended indwelling time, presumably due to extensive contact of the filter side struts with the inferior vena cava wall and subsequent neointimal hyperplasia leading to incorporation. Our purpose was to evaluate OptEase filter retrievals with a long indwelling time period that required unconventional retrieval techniques.

Materials and Methods

We retrospectively reviewed patients who underwent OptEase filter retrieval with long undwelling times requiring additional maneuvers for retrieval. Techniques used included rigid endobronchial forceps dissection and wire-through-loop snare. Each patient underwent postretrieval venogram to evaluate for possible complications. In addition, patients had clinical follow-up 2 weeks after the retrieval procedure.

Results

There were three patients (2 women, 1 man; average age 64 years) who underwent OptEase filter retrieval. The mean indwelling time was 6.4 months. The indwelling filters were successfully retrieved. There were no complications. Postprocedural follow-up showed no clinical pathology.

Conclusion

Unconventional techniques aided in the retrieval of OptEase filters with long indwelling times.
Literature
1.
go back to reference Decousus H, Leizorovicz A, Parent F et al (1998) A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prevention du Risque d’Embolie Pulmonaire par Interruption Cave Study Group. N Engl J Med 338:409–415PubMedCrossRef Decousus H, Leizorovicz A, Parent F et al (1998) A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prevention du Risque d’Embolie Pulmonaire par Interruption Cave Study Group. N Engl J Med 338:409–415PubMedCrossRef
2.
go back to reference Spencer FA, Bates SM, Goldberg RJ et al (2010) A population-based study of inferior vena cava filters in patients with acute venous thromboembolism. Arch Intern Med 170:1456–1462PubMedCrossRef Spencer FA, Bates SM, Goldberg RJ et al (2010) A population-based study of inferior vena cava filters in patients with acute venous thromboembolism. Arch Intern Med 170:1456–1462PubMedCrossRef
3.
go back to reference Kearon C, Kahn SR, Agnelli G, Goldhaber S, Raskob GE, Comerota AJ (2008) Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th edn). Chest 133:454S–545SPubMedCrossRef Kearon C, Kahn SR, Agnelli G, Goldhaber S, Raskob GE, Comerota AJ (2008) Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th edn). Chest 133:454S–545SPubMedCrossRef
4.
go back to reference Kaufman JA, Kinney TB, Streiff MB et al (2006) Guidelines for the use of retrievable and convertible vena cava filters: report from the Society of Interventional Radiology multidisciplinary consensus conference. J Vasc Interv Radiol 17:449–459PubMedCrossRef Kaufman JA, Kinney TB, Streiff MB et al (2006) Guidelines for the use of retrievable and convertible vena cava filters: report from the Society of Interventional Radiology multidisciplinary consensus conference. J Vasc Interv Radiol 17:449–459PubMedCrossRef
5.
go back to reference Piano G, Ketteler E, Prachand V et al (2007) Safety, feasibility, and outcome of retrievable vena cava filters in high-risk surgical patients. J Vasc Surg 45:784–788PubMedCrossRef Piano G, Ketteler E, Prachand V et al (2007) Safety, feasibility, and outcome of retrievable vena cava filters in high-risk surgical patients. J Vasc Surg 45:784–788PubMedCrossRef
6.
go back to reference Van Ha TG, Chien AS, Funaki BS et al (2008) Use of retrievable compared to permanent inferior vena cava filters: a single-institution experience. Cardiovasc Interv Radiol 31:308–315CrossRef Van Ha TG, Chien AS, Funaki BS et al (2008) Use of retrievable compared to permanent inferior vena cava filters: a single-institution experience. Cardiovasc Interv Radiol 31:308–315CrossRef
7.
go back to reference Girard P, Stern JB, Parent F (2002) Medical literature and vena cava filters: so far so weak. Chest 122:963–967PubMedCrossRef Girard P, Stern JB, Parent F (2002) Medical literature and vena cava filters: so far so weak. Chest 122:963–967PubMedCrossRef
8.
go back to reference Grande WJ, Trerotola SO, Reilly PM et al (2005) Experience with the recovery filter as a retrievable inferior vena cava filter. J Vasc Interv Radiol 16:1189–1193PubMedCrossRef Grande WJ, Trerotola SO, Reilly PM et al (2005) Experience with the recovery filter as a retrievable inferior vena cava filter. J Vasc Interv Radiol 16:1189–1193PubMedCrossRef
9.
go back to reference Angel LF, Tapson V, Galgon RE, Restrepo MI, Kaufman J (2011) Systematic review of the use of retrievable inferior vena cava filters. J Vasc Interv Radiol 22:1522–1530 e3PubMedCrossRef Angel LF, Tapson V, Galgon RE, Restrepo MI, Kaufman J (2011) Systematic review of the use of retrievable inferior vena cava filters. J Vasc Interv Radiol 22:1522–1530 e3PubMedCrossRef
10.
go back to reference Smouse HB, Rosenthal D, Van Ha T et al (2009) Long term retrieval success rate profile for the Gunther Tulip vena cava filter. J Vasc Interv Radiol 20:871–877PubMedCrossRef Smouse HB, Rosenthal D, Van Ha T et al (2009) Long term retrieval success rate profile for the Gunther Tulip vena cava filter. J Vasc Interv Radiol 20:871–877PubMedCrossRef
11.
go back to reference Lyon SM, Riojas GE, Uberoi R et al (2009) Short and long-term retrievability of the Celect vena cava filter: results from a multi-institutional registry. J Vasc Interv Radiol 20:1441–1448PubMedCrossRef Lyon SM, Riojas GE, Uberoi R et al (2009) Short and long-term retrievability of the Celect vena cava filter: results from a multi-institutional registry. J Vasc Interv Radiol 20:1441–1448PubMedCrossRef
12.
go back to reference Ashley DW, Mix JW, Christie B et al (2005) Removal of OptEase retrievable vena cava filter is not feasible after extended time periods because of filter protrusion through the vena cava. J Trauma 59:847–852PubMedCrossRef Ashley DW, Mix JW, Christie B et al (2005) Removal of OptEase retrievable vena cava filter is not feasible after extended time periods because of filter protrusion through the vena cava. J Trauma 59:847–852PubMedCrossRef
13.
go back to reference Rimon U, Bensaid P, Golan G et al (2011) OptEase vena cava filter optimal indwelling time and retrievability. Cardiovasc Interv Radiol 34:532–535CrossRef Rimon U, Bensaid P, Golan G et al (2011) OptEase vena cava filter optimal indwelling time and retrievability. Cardiovasc Interv Radiol 34:532–535CrossRef
14.
go back to reference Reekers JA, Hoogeveen YL, Wijnands M, Bosma G, Mulder R, Oliva VL (2004) Evaluation of the retrievability of the OptEase IVC filter in an animal model. J Vasc Interv Radiol 15:261–267PubMedCrossRef Reekers JA, Hoogeveen YL, Wijnands M, Bosma G, Mulder R, Oliva VL (2004) Evaluation of the retrievability of the OptEase IVC filter in an animal model. J Vasc Interv Radiol 15:261–267PubMedCrossRef
15.
go back to reference Giesbusch PP, Benenati JF, Pena CS et al (2012) Retrievable inferior vena cava filters: factors that affect retrieval success. Cardiovasc Interv Radiol 35:1059–1065CrossRef Giesbusch PP, Benenati JF, Pena CS et al (2012) Retrievable inferior vena cava filters: factors that affect retrieval success. Cardiovasc Interv Radiol 35:1059–1065CrossRef
16.
go back to reference Stavropoulos SW, Dixon RG, Burke CT et al (2008) Embedded inferior vena cava filter removal: use of endobronchial forceps. J Vasc Interv Radiol 19:1297–1301PubMedCrossRef Stavropoulos SW, Dixon RG, Burke CT et al (2008) Embedded inferior vena cava filter removal: use of endobronchial forceps. J Vasc Interv Radiol 19:1297–1301PubMedCrossRef
17.
go back to reference Kuo WT, Cupp JS, Louie JD et al (2012) Complex retrieval of embedded IVC filters: alternative techniques and histologic tissue analysis. Cardiovasc Interv Radiol 35:588–597CrossRef Kuo WT, Cupp JS, Louie JD et al (2012) Complex retrieval of embedded IVC filters: alternative techniques and histologic tissue analysis. Cardiovasc Interv Radiol 35:588–597CrossRef
18.
go back to reference Van Ha TG, Vinokur O, Lorenz J et al (2009) Techniques used for difficult retrievals of the Gunther Tulip inferior vena cava filter: experience in 32 patients. J Vasc Interv Radiol 20:92–99PubMedCrossRef Van Ha TG, Vinokur O, Lorenz J et al (2009) Techniques used for difficult retrievals of the Gunther Tulip inferior vena cava filter: experience in 32 patients. J Vasc Interv Radiol 20:92–99PubMedCrossRef
Metadata
Title
Difficult OptEase Filter Retrievals After Prolonged Indwelling Times
Authors
Thuong G. Van Ha
Lisa Kang
Jonathan Lorenz
Steven Zangan
Rakesh Navuluri
Christopher Straus
Brian Funaki
Publication date
01-08-2013
Publisher
Springer New York
Published in
CardioVascular and Interventional Radiology / Issue 4/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-013-0619-x

Other articles of this Issue 4/2013

CardioVascular and Interventional Radiology 4/2013 Go to the issue