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• W3008111812 abstract "Rates of inferior vena cava filter (IVCFs) retrieval are increasing; however, the safety and efficacy of IVCF retrieval when filter elements are penetrating into an adjacent vertebral body is unknown. Therefore, our purpose was to evaluate the safety and efficacy of IVCF removal when filter elements are penetrating into adjacent bone. A multicenter, retrospective review of IVCF retrievals from 2008-2018 was performed. Adult patients with CT scans documenting penetration of filter elements into bone prior to retrieval were included. Technical success of IVCF retrieval was recorded. Patient records were assessed for immediate, 30-day and 90-day complications after retrieval. 13 patients (2 males; 11 females; mean age: 53.2 years; range, 22-71) qualified for inclusion. 13/13 filters were optional (“retrievable”) filters. Venous thromboembolism (VTE) with a contraindication to anti-coagulation (7/13; 53.8%) and prophylaxis without VTE (3/13; 23.1%) were the two most common indications for IVCF placement. Two IVCFs (15.4%) had >150 tilt relative to the IVC prior to retrieval while no IVCFs were found to have migrated, or caused iliocaval thrombosis. One filter (7.7%) was found to have a fractured leg element. No patients had an INR >1.5 or a platelet count of <50,000/μL at the time of retrieval. A total of 11 of 13 patients (84.6%) were on either anti-coagulants or anti-platelet agents at the time of IVCF retrieval. No patients were on antibiotics at the time of retrieval and no patients were given peri-procedural antibiotics. Mean dwell time was 901.1 days (range, 49-5395). All 13 IVCFs were successfully retrieved (technical success: 100%). Standard loop snare technique was used in 8 cases (61.5%), endobronchial forceps were used in three cases (23.1%), and the “glidewire loop snare” technique was used in two cases (15.4%). No patients experienced any intraprocedural complications. There were no complications identified in any patient at 30 days or 90 days post-retrieval. Endovascular retrieval of IVCFs with elements that have penetrated into adjacent bone is both safe and technically feasible." @default.
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• W3008111812 date "2020-03-01" @default.
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• W3008111812 title "Abstract No. 733 Bone penetration by inferior vena cava filters: feasibility and safety of percutaneous retrieval" @default.
• W3008111812 doi "https://doi.org/10.1016/j.jvir.2019.12.792" @default.
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