Intravascular ultrasound-guided inferior vena cava filter placement using a single-puncture technique in 99 patients

Andrew J. Gunn, Shams I. Iqbal, Sanjeeva P. Kalva, T. Gregory Walker, Suvranu Ganguli, Gloria M. Salazar, Rahmi Oklu, Stephan Wicky

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Purpose: To assess the feasibility and safety of intravascular ultrasound (IVUS) to guide inferior vena cava (IVC) filter placement using a single venous puncture technique. Materials and Methods: Medical records of all patients who had IVC filters placed under IVUS guidance between January 1, 2005 and December 31, 2011 were retrospectively reviewed for pertinent history, results, and complications. All filters were placed using a single venous puncture technique. Results: Filters were successfully placed within the IVC in 94% of the patients with 6 malpositioned filters (4 in the iliac veins and 2 in the suprarenal IVC). Complications included groin hematoma (4%), deep venous thrombosis at the site of vascular access (2%), and filter tilt >15 along the long axis of the IVC (2%). Conclusions: The IVUS-guided IVC filter placement using a single venous puncture technique is technically feasible and safe when compared to case series using a double venous puncture technique.

Original languageEnglish (US)
Pages (from-to)97-101
Number of pages5
JournalVascular and Endovascular Surgery
Volume47
Issue number2
DOIs
StatePublished - Feb 1 2013

Keywords

  • IVC filter
  • deep vein thrombosis
  • intravascular ultrasound
  • pulmonary embolism

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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    Gunn, A. J., Iqbal, S. I., Kalva, S. P., Walker, T. G., Ganguli, S., Salazar, G. M., Oklu, R., & Wicky, S. (2013). Intravascular ultrasound-guided inferior vena cava filter placement using a single-puncture technique in 99 patients. Vascular and Endovascular Surgery, 47(2), 97-101. https://doi.org/10.1177/1538574412473186