Is external compression on the IVC a risk factor for IVC filter abutment? A single center experience of 141 infrarenal celect filter insertions Sang.

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Presentation transcript:

Is external compression on the IVC a risk factor for IVC filter abutment? A single center experience of 141 infrarenal celect filter insertions Sang Yub Lee, Jongmin Lee European Journal of Radiology Open Volume 5, Pages 73-78 (January 2018) DOI: 10.1016/j.ejro.2018.05.001 Copyright © 2018 The Authors Terms and Conditions

Fig. 1 Flow chart of study enrollment. IVC, inferior vena cava, DVT, deep vein thrombosis, CT, computed tomography. European Journal of Radiology Open 2018 5, 73-78DOI: (10.1016/j.ejro.2018.05.001) Copyright © 2018 The Authors Terms and Conditions

Fig. 2 A. Thirty-two-year-old male patient shows IVC filter tilting. The tilting of the IVC filter is 16.5 degrees; however, the IVC filter tip has not abutted the IVC wall because the IVC diameter is large (29.7 mm long diameter, 14.7 mm short diameter). B. Fifty-four-year-old male patient shows IVC filter tip abutment to the IVC wall. The tilting of the filter is 11.3 degrees, but the long diameter of the IVC is small (18.8 mm). European Journal of Radiology Open 2018 5, 73-78DOI: (10.1016/j.ejro.2018.05.001) Copyright © 2018 The Authors Terms and Conditions

Fig. 3 A. Infrarenal venacavography shows external compression of the IVC lumen. B. Coronal reformatted computed tomography image shows the tip of the IVC filter embedded into the IVC wall and external IVC compression by a tortuous abdominal aorta (asterisk). This IVC filter could not be removed. European Journal of Radiology Open 2018 5, 73-78DOI: (10.1016/j.ejro.2018.05.001) Copyright © 2018 The Authors Terms and Conditions

Fig. 4 External IVC compression by vertebral spur results in IVC filter tilting. A. Pre-procedural, multiplanar reconstructed CT image of 62-year-old female patient shows vertebral bony spur indenting the IVC lumen. B. Maximal intensity, projection-reformatted image shows IVC filter abutment to the IVC wall. C. This bony spur is not evident in the anteroposterior fluoroscopic image. European Journal of Radiology Open 2018 5, 73-78DOI: (10.1016/j.ejro.2018.05.001) Copyright © 2018 The Authors Terms and Conditions