| Description |
1 online resource (ix, 207 pages) : illustrations |
| Contents |
Intro -- Contents -- Contributors -- 1: Current Data and Trends on Inferior Vena Cava Filter Placement and Retrieval -- History -- Why Filters Are Inserted -- Trends in Filter Placement -- Trends in Filter Complications -- Filter Retrieval -- Conclusion -- References -- 2: IVC Filter Placement: Accepted and Relative Indications -- Introduction -- Accepted Indication for IVCF Insertion -- Relative and Prophylactic Indications of IVCF Insertion -- Special Patient Populations -- Recommendations Against IVCF Insertion -- Bibliography |
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3: Inferior Vena Cava Filter Placement: Anatomical Evaluation and Approach to Variant Anatomy -- Introduction -- Embryogenesis of the Inferior Vena Cava -- Procedural Technical and Anatomic Considerations -- Variant Anatomic Considerations -- Renal Vein Variants -- Duplicated IVC -- Mega Cava -- Suprarenal Filter Placement Considerations -- Conclusions -- References -- 4: IVC Filter Retrieval: Routine Approach -- IVC Filter Clinic -- Equipment and Technique -- Escalation to Complex Retrieval -- References -- 5: Complex Filter Retrieval Planning -- Introduction |
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Defining Complex IVC Filter Retrieval -- Pre-procedure Clinical Evaluation -- Pre-procedure Imaging Workup -- Informed Consent and Anesthetic Considerations -- References -- 6: Filter Strut Penetration: Does It Matter? -- Case 1: Retroperitoneal Fat Strut Penetration -- Case 2: Filter Strut and Apex Penetration into Extra-Caval Space -- Case 3: Filter Penetration into Nonvascular Organs -- Bowel -- Case 4: Filter Penetration into Nonvascular Organs -- Spine -- Case 5: Filter Strut Penetration with Aortic Involvement and Intraluminal Thrombus |
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Case 6: Penetrating Filter Removal Complicated by Renal Arteriovenous Fistula Formation -- References -- 7: Retrieval of Filters with Embedded Apices -- Case 1: Tilted IVC Filter -- Case 2: Tilted and Embedded Filter -- Case 3: Deeply Embedded Filter -- References -- 8: Filter Strut Incorporation: Tools for Success and Improved Procedural Safety -- Excimer Laser-Assisted Retrieval for Filter Strut Incorporation -- Case 1: Chronically Embedded Optease Filter -- References -- 9: Mechanism and Approach to Fractured Filters -- Introduction -- Filter Construction -- Filter Geometry |
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Mechanism of Filter Fracture -- Evaluation of a Patient with a Fractured IVCF -- Fragment Characterization -- Local -- Technical Considerations -- Extracaval Involvement -- Central Embolization -- Intracardiac -- Technical Considerations -- Intrapulmonary -- Technical Considerations -- Patient Preference -- Understanding Limitations -- Conclusions -- References -- 10: IVC Filter Migration and Misplacement -- Case 1: Pulmonary Filter Strut Migration -- Case 2: Cardiac Migration of an IVC Filter -- Case 3: Filter Misplacement: Azygos Vein -- Case 4: Filter Misplacement: Right Renal Vein |
| Summary |
This book addresses placement and retrieval of inferior vena cava (IVC) filters. Until 2010, utilization of IVC filters had been increasing since their introduction in 1967. Studies in the early 2000's, however, identified that prolonged caval interruption with IVC filters were fraught with complications including filter fracture, migration, and caval thrombosis. This subsequently led the FDA to issue an advisory recommending judicious placement and timely retrieval of IVC filters by treating physicians. This safety advisory ultimately created a heightened awareness by medical professionals and the general public regarding the negative consequences surrounding long-term caval filtration. Subsequently, IVC filter placements decreased nationally while retrievals conversely increased in the post-FDA advisory era. During this same time period, interest in complex IVC filter retrieval also increased as a method to manage patients identified to have or be at risk for complications secondary to prolonged filter implantation. Given these established trends and interest surrounding advanced techniques in IVC filter retrieval, this book addresses these topics in a reader-friendly, case-based format. Chapters focus particularly around the recognition and management of filter-related complications. Additionally, advanced techniques employed by experienced operators for complex filter retrieval are also discussed. For completeness, the book also includes a review of indications and appropriate methods for IVC filter placement. This book is unique in that, at present, descriptions of complications and advanced techniques utilized for complicated IVC filter removal consist mainly of case reports and case series scattered throughout the literature. This publication serves to compile these sources into a single comprehensive entity for physicians treating patients with IVC filters. Chapters are organized to begin with a few introductory paragraphs highlighting the relevant literature (and providing references for in-depth reading) followed by several cases demonstrating tips, tricks, and procedural pitfalls. When possible, each case will include a step-by-step description of the technique being described. This is an ideal guide for interventional radiologists, interventional cardiologists, and vascular surgeons that perform or are interested in performing filter retrieval beyond standard techniques |
| Bibliography |
Includes bibliographical references |
| Notes |
Print version record |
| Subject |
Vena cava inferior -- Surgery.
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Interventional radiology.
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Blood-vessels -- Surgery.
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Radiology, Interventional
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Vascular Surgical Procedures
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Blood-vessels -- Surgery
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Cardiology
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Interventional radiology
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| Form |
Electronic book
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| Author |
Desai, Kush R.
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Ahmed, Osman (Osmanuddin Syed)
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Ha, Thuong Van.
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| ISBN |
9783030451509 |
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303045150X |
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