Successful retrieval of tip-embedded inferior vena cava filter using a modified forceps technique: case report.

IF 2.6 4区医学 Q2 HEMATOLOGY Thrombosis Journal Pub Date : 2024-03-12 DOI:10.1186/s12959-024-00595-7

Yang Liu, Junlong Ma, Qiqi Wang, Wei Zeng, Chunshui He

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Abstract

Background: The retrieval of inferior vena cava (IVC) filter is essential for preventing complications associated with the device. Advanced techniques have been developed to improve the success rate of retrieving tip-embedded filters. The forceps technique is frequently used to address this issue.

Case presentation: We present a case study of two patients who underwent a successful tip-embedded IVC filter retrieval using a modified forceps technique, which has not been previously reported. This technique involves using a wire loop under the filter tip and a forceps to grasp the filter shoulder. By pulling the wire loop and pushing the forceps in counterforce, the filter tip is straightened and aligned with the vascular sheath. The vascular sheath can then dissect the filter tip out from the caval wall and get inside the sheath to complete the retrieval.

Conclusions: The modified forceps technique we present here offers a new solution for the complex retrieval of IVC filters.

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使用改良镊子技术成功取出尖端嵌入的下腔静脉过滤器：病例报告。

背景：取回下腔静脉（IVC）滤器对于预防与该装置相关的并发症至关重要。为了提高取回尖端嵌入滤器的成功率，人们开发了先进的技术。镊子技术常用于解决这一问题：我们对两名患者进行了病例研究，他们使用改良的镊子技术成功取回了尖端嵌入式 IVC 过滤器。该技术包括在过滤器顶端下方使用钢丝圈，并用镊子夹住过滤器肩部。通过拉动钢丝圈和反作用力推动镊子，过滤器顶端被拉直并与血管鞘对齐。然后，血管鞘可将滤器尖端从腔壁剥离，并进入鞘内完成取出：我们在此介绍的改良镊子技术为复杂的 IVC 过滤器取出术提供了一种新的解决方案。

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来源期刊

Thrombosis Journal Medicine-Hematology

CiteScore

3.80

自引率

3.20%

发文量

审稿时长

16 weeks

期刊介绍： Thrombosis Journal is an open-access journal that publishes original articles on aspects of clinical and basic research, new methodology, case reports and reviews in the areas of thrombosis. Topics of particular interest include the diagnosis of arterial and venous thrombosis, new antithrombotic treatments, new developments in the understanding, diagnosis and treatments of atherosclerotic vessel disease, relations between haemostasis and vascular disease, hypertension, diabetes, immunology and obesity.