Sailen G. Naidu, MD, William M. Stone, MD, John P

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Endovascular retrieval of a TrapEase permanent inferior vena cava filter from the aorta Sailen G. Naidu, MD, William M. Stone, MD, John P. Sweeney, MD, Samuel R. Money, MD Journal of Vascular Surgery Volume 55, Issue 1, Pages 237-239 (January 2012) DOI: 10.1016/j.jvs.2011.05.090 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 A wire hooked around the filter apex from above. Both ends of the wire exit the left brachial 8Fr sheath. From below, a wire has hooked an inferior strut, with both ends exiting the 11Fr sheath. Journal of Vascular Surgery 2012 55, 237-239DOI: (10.1016/j.jvs.2011.05.090) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Gentle retraction was held from above and below to collapse the filter and prevent filter movement. The 8Fr sheath was advanced slowly over the superior barbs. B, The 11Fr sheath was then advanced over the inferior barbs and the 8Fr sheath in an intussusception fashion. The filter and the wires were removed from below. Journal of Vascular Surgery 2012 55, 237-239DOI: (10.1016/j.jvs.2011.05.090) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Distortion caused by sheath and wire combination. Use of a 0.035-inch wire (left) caused the 8Fr sheath to flatten, or “fish mouth.” This flattening effect would not allow filter retrieval. Use of a thinner, 0.014-inch wire (right) did not cause the sheath to flatten. Journal of Vascular Surgery 2012 55, 237-239DOI: (10.1016/j.jvs.2011.05.090) Copyright © 2012 Society for Vascular Surgery Terms and Conditions