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Benjamin B. Lind, MD, Hector Ferral, MD 

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Presentation on theme: "Benjamin B. Lind, MD, Hector Ferral, MD "— Presentation transcript:

1 Günther-Tulip inferior vena cava filter removal 3334 days after placement 
Benjamin B. Lind, MD, Hector Ferral, MD  Journal of Vascular Surgery Cases  Volume 1, Issue 1, Pages (March 2015) DOI: /j.jvsc Copyright © 2015 The Authors Terms and Conditions

2 Fig 1 Digital subtraction venogram performed during inferior vena cava (IVC) filter removal attempt shows at least two of the filter limbs protruding beyond the caval wall and close to the right-sided double-J stent. Journal of Vascular Surgery Cases 2015 1, 39-41DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

3 Fig 2 In this digital subtraction venogram during Günther-Tulip (Cook Medical, Bloomington, Ind) inferior vena cava (IVC) filter removal attempt, most of the IVC filter is seen within the 16F transjugular sheath; however, the lower aspect of the filter is still outside the sheath. The venogram was obtained during retrieval attempts. An Amplatz snare (ev-3, Minneapolis, Minn) was used to forcefully pull the filter within the sheath, and a 6-mm angioplasty balloon was used to push the filter within the sheath. Notice the subtle retraction of the caval wall during these maneuvers (black arrow). The thought was that the filter prongs were still caught within the caval wall. Journal of Vascular Surgery Cases 2015 1, 39-41DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

4 Fig 3 Digital subtraction venogram immediately after filter removal shows a patent and intact inferior vena cava (IVC). No perforation or extravasation is identified. Journal of Vascular Surgery Cases 2015 1, 39-41DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

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