Bedside placement of inferior vena cava filters by using transabdominal duplex ultrasonography and intravascular ultrasound imaging Marc A. Passman,

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Presentation transcript:

Bedside placement of inferior vena cava filters by using transabdominal duplex ultrasonography and intravascular ultrasound imaging Marc A. Passman, MD, Jeffery B. Dattilo, MD, Raul J. Guzman, MD, Thomas C. Naslund, MD Journal of Vascular Surgery Volume 42, Issue 5, Pages 1027-1032 (November 2005) DOI: 10.1016/j.jvs.2005.06.027 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Preprocedure imaging of the inferior vena cava (IVC) in transverse (A) and longitudinal (B) planes to determine the technical feasibility of bedside filter placement with transabdominal duplex ultrasonography. R, Right. Journal of Vascular Surgery 2005 42, 1027-1032DOI: (10.1016/j.jvs.2005.06.027) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Visualization of the tip of the filter-delivery catheter at the right renal vein/inferior vena cava (IVC) junction in the transverse (A) and longitudinal (B) planes during bedside placement of the filter with transabdominal duplex ultrasound guidance. R, Right. Journal of Vascular Surgery 2005 42, 1027-1032DOI: (10.1016/j.jvs.2005.06.027) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Confirmation of proper filter deployment into the inferior vena cava (IVC) after bedside placement with transabdominal duplex ultrasound guidance. Journal of Vascular Surgery 2005 42, 1027-1032DOI: (10.1016/j.jvs.2005.06.027) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 4 Preprocedure imaging of the inferior vena cava (IVC) with intravascular ultrasonography to identify venous anatomic landmarks at the right atrium (A), hepatic veins (B), renal veins (C), and infrarenal IVC above the iliac vein confluence (D). R, Right; L, left. Journal of Vascular Surgery 2005 42, 1027-1032DOI: (10.1016/j.jvs.2005.06.027) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 5 Visualization of the tip of the filter-delivery catheter just below the right renal vein (A) at the infrarenal inferior vena cava level (B) during bedside placement of the filter with intravascular ultrasound guidance with a dual venous access technique. R, Right; L, left. Journal of Vascular Surgery 2005 42, 1027-1032DOI: (10.1016/j.jvs.2005.06.027) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 6 Premeasured length of the intravascular ultrasound (IVUS) probe compared with the length of the filter-delivery catheter and introducer. The arrow denotes the suture marker used for length premeasurement. Measurement guides on some types of IVUS probes can be alternatively used. Note that the premeasured length of the IVUS probe inside the sheath corresponds to the same position of the filter-delivery catheter when fully loaded in the sheath. This premeasurement allows bedside placement of the filter with IVUS guidance and a single venous access technique. Journal of Vascular Surgery 2005 42, 1027-1032DOI: (10.1016/j.jvs.2005.06.027) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 7 Confirmation of proper filter deployment into the inferior vena cava after bedside placement with intravascular ultrasound guidance. Journal of Vascular Surgery 2005 42, 1027-1032DOI: (10.1016/j.jvs.2005.06.027) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions