Factors Contributing to Inferior Vena Cava Filter Removal Failure using Advanced Techniques: A Single-Center Study

Purpose To investigate the factors contributing to inferior vena cava (IVC) filter removal failure by comparing successful and failed cases using advanced techniques. Materials and Methods IVC filter removal was attempted in 331 patients. Of the 29 patients in whom IVC filter removal failed using...

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Main Authors: Hyeong Ryun Cho, Young Min Han, Hong Pil Hwang
Format: Article
Language:English
Published: The Korean Society of Radiology 2025-01-01
Series:Journal of the Korean Society of Radiology
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Online Access:https://doi.org/10.3348/jksr.2024.0046
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author Hyeong Ryun Cho
Young Min Han
Hong Pil Hwang
author_facet Hyeong Ryun Cho
Young Min Han
Hong Pil Hwang
author_sort Hyeong Ryun Cho
collection DOAJ
description Purpose To investigate the factors contributing to inferior vena cava (IVC) filter removal failure by comparing successful and failed cases using advanced techniques. Materials and Methods IVC filter removal was attempted in 331 patients. Of the 29 patients in whom IVC filter removal failed using a simple technique, the IVC filter was successfully removed using an advanced technique in 18 patients and failure was noted in 11 patients. Age, sex, filter type, indwelling period, IVC diameter, tilting angle between the IVC and the filter, IVC wall penetration of the filter strut, and whether the filter was embedded or endothelialized within the IVC wall were compared in each group. Results Overall, there were 13 men (72%) in the success group and 3 men (27%) in the failure group; more women were present in the failure group (p = 0.027). Unlike in the success group, hook embedment (9/11, 82%) or IVC filter endothelialization (2/11, 18%) within the wall of the IVC were observed in the failure group using two-dimensional venography. Conclusion When using advanced techniques for IVC filter removal, females are at a higher risk of failure compared to males. Hook embedment and IVC filter endothelialization within the IVC wall, rather than penetration of the IVC wall, are crucial factors in failure of IVC filter removal using advanced techniques.
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spelling doaj-art-abbbb989fcfa43e7b72bfba4fbffc0d82025-01-31T07:28:52ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052025-01-01861105113https://doi.org/10.3348/jksr.2024.0046Factors Contributing to Inferior Vena Cava Filter Removal Failure using Advanced Techniques: A Single-Center StudyHyeong Ryun ChoYoung Min HanHong Pil HwangPurpose To investigate the factors contributing to inferior vena cava (IVC) filter removal failure by comparing successful and failed cases using advanced techniques. Materials and Methods IVC filter removal was attempted in 331 patients. Of the 29 patients in whom IVC filter removal failed using a simple technique, the IVC filter was successfully removed using an advanced technique in 18 patients and failure was noted in 11 patients. Age, sex, filter type, indwelling period, IVC diameter, tilting angle between the IVC and the filter, IVC wall penetration of the filter strut, and whether the filter was embedded or endothelialized within the IVC wall were compared in each group. Results Overall, there were 13 men (72%) in the success group and 3 men (27%) in the failure group; more women were present in the failure group (p = 0.027). Unlike in the success group, hook embedment (9/11, 82%) or IVC filter endothelialization (2/11, 18%) within the wall of the IVC were observed in the failure group using two-dimensional venography. Conclusion When using advanced techniques for IVC filter removal, females are at a higher risk of failure compared to males. Hook embedment and IVC filter endothelialization within the IVC wall, rather than penetration of the IVC wall, are crucial factors in failure of IVC filter removal using advanced techniques.https://doi.org/10.3348/jksr.2024.0046ivc filteradvanced techniqueretrieverdeep vein thrombosis
spellingShingle Hyeong Ryun Cho
Young Min Han
Hong Pil Hwang
Factors Contributing to Inferior Vena Cava Filter Removal Failure using Advanced Techniques: A Single-Center Study
Journal of the Korean Society of Radiology
ivc filter
advanced technique
retriever
deep vein thrombosis
title Factors Contributing to Inferior Vena Cava Filter Removal Failure using Advanced Techniques: A Single-Center Study
title_full Factors Contributing to Inferior Vena Cava Filter Removal Failure using Advanced Techniques: A Single-Center Study
title_fullStr Factors Contributing to Inferior Vena Cava Filter Removal Failure using Advanced Techniques: A Single-Center Study
title_full_unstemmed Factors Contributing to Inferior Vena Cava Filter Removal Failure using Advanced Techniques: A Single-Center Study
title_short Factors Contributing to Inferior Vena Cava Filter Removal Failure using Advanced Techniques: A Single-Center Study
title_sort factors contributing to inferior vena cava filter removal failure using advanced techniques a single center study
topic ivc filter
advanced technique
retriever
deep vein thrombosis
url https://doi.org/10.3348/jksr.2024.0046
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AT hongpilhwang factorscontributingtoinferiorvenacavafilterremovalfailureusingadvancedtechniquesasinglecenterstudy