Fibrin cap disruption: an adjunctive technique for inferior vena cava filter retrieval

J Vasc Interv Radiol. 2012 Sep;23(9):1233-5. doi: 10.1016/j.jvir.2012.06.001.

Abstract

Various adjunctive techniques have been reported for challenging inferior vena cava (IVC) filter retrievals (1-4). One particularly challenging obstacle to successful IVC filter retrieval is the formation of a radiolucent fibrin cap over the embedded apex of the IVC filter. This obstacle is a result of filter tilting that creates turbulent blood flow, which promotes fibrin cap formation. The aim of this brief report is to depict a novel technique for IVC filter retrieval: guide wire-manipulated disruption of the fibrin cap.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Catheters
  • Device Removal / instrumentation
  • Device Removal / methods*
  • Equipment Design
  • Female
  • Fibrin / metabolism*
  • Humans
  • Middle Aged
  • Radiography, Interventional
  • Treatment Outcome
  • Vena Cava Filters*
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / metabolism
  • Vena Cava, Inferior / surgery*

Substances

  • Fibrin