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Introduction to IVC Filter Retrieval

This video demonstrates the procedural steps involved in the retrieval of an infrarenal Argon Option IVC filter.  This educational video discusses the purpose of IVC filters as well as indications and contraindications for placement and retrieval.

Authors: Alexander M. Moushey1; H. Alexander Chen1; Fabian Laage Gaupp, MD2; Todd Schlachter, MD2

1Yale University School of Medicine, New Haven, CT
2Department of Radiology and Biomedical Imaging, Division of Interventional Radiology, Yale University School of Medicine, New Haven, CT

Retrieval of an infrarenal IVC filter
Indications for IVC filter removal include when a patient with an existing IVC filter is now anticoagulated or no longer is at risk for pulmonary embolism, thus the IVC filter is no longer indicated.
Contraindications for IVC filter removal include when a patient with an existing IVC filter has continued risk for pulmonary embolism or cannot be anticoagulated due to anticoagulation complications or contraindications.
IVC filter retrieval setup includes equipment used for access to the internal jugular vein (IJ), equipment for digital subtraction angiography, as well as an IVC filter retrieval kit that includes a snare and sheath.
Patients are selected for IVC filter retrieval by a multidisciplinary team, often involving cardiology, primary care, and interventional radiology.
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Bleeding or infection at the IJ access site, inability to remove the IVC filter, loss of filter fragments, damage to surrounding structures.
No conflicts to disclose
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Grewal, S., Lewandowski, R. J., Ryu, R., & Desai, K. R. (2020). Inferior Vena Cava Filter Retrieval: Patient Selection, Procedural Planning, and Postprocedural Complications. AJR. American journal of roentgenology, 215(4), 790–794. https://doi.org/10.2214/AJR.19.22387

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