Safety and Effectiveness of the Celect Inferior Vena Cava Filter: Preliminary Results

Minal Jagtiani Sangwaiya, Theodore C. Marentis, T. Gregory Walker, Michael Stecker, Stephan T. Wicky, Sanjeeva P. Kalva

Research output: Contribution to journalArticle

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Abstract

Purpose: To evaluate the safety and effectiveness of the Celect inferior vena cava (IVC) filter during implantation, retrieval, and short-term follow-up. Materials and Methods: The clinical data of 73 patients (46 men; age range, 22-89 years) who had a Celect IVC filter implanted between August 2007 and June 2008 were reviewed. Twenty-one (28.8%) presented with pulmonary embolism (PE), 15 (20.54%) with deep vein thrombosis (DVT), 12 (16.4%) with both, and the rest (34.26%) with other symptoms. Indications for filter placement were contraindication to anticoagulation (n = 38; 52%), prophylaxis/added protection (n = 22; 30%), failure of anticoagulation (n = 11; 15%), and complications of anticoagulation (n = 2; 3%). Filters were placed in the infrarenal (n = 71) or suprarenal (n = 2) IVC. Follow-up data were reviewed for filter-related complications and recurrent PE. Results: All filters were successfully deployed. Immediately after fluoroscopy-guided filter deployment in 61 patients, four filters (6.5%) showed significant tilt. During follow-up (mean, 68 days ± 73), three patients developed symptoms of PE after filter placement; however, computed tomographic (CT) pulmonary angiography demonstrated new PE in only two. Imaging follow-up with radiography (n = 32), CT (n = 11), and/or angiography (n = 4) in 47 patients (at a mean of 62 days ± 75) showed no filter migration. Follow-up abdominal CT (at a mean of 69 days ± 58) was available in 18 patients and demonstrated filter-related problems in seven (39%). These included penetration of filter legs in four and fracture/migration of filter components in one. Fourteen filters were successfully retrieved after a median period of 84 days. Conclusions: The Celect IVC filter can be safely placed but is related to a high incidence of caval filter leg penetration. Symptomatic PE after filter placement confirmed by CT occurred in 2.8% of patients.

Original languageEnglish (US)
Pages (from-to)1188-1192
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume20
Issue number9
DOIs
StatePublished - Sep 2009

Fingerprint

Vena Cava Filters
Pulmonary Embolism
Safety
Leg
Angiography
Venae Cavae
Fluoroscopy
Inferior Vena Cava
Radiography
Venous Thrombosis
Lung
Incidence

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Sangwaiya, M. J., Marentis, T. C., Walker, T. G., Stecker, M., Wicky, S. T., & Kalva, S. P. (2009). Safety and Effectiveness of the Celect Inferior Vena Cava Filter: Preliminary Results. Journal of Vascular and Interventional Radiology, 20(9), 1188-1192. https://doi.org/10.1016/j.jvir.2009.05.033

Safety and Effectiveness of the Celect Inferior Vena Cava Filter : Preliminary Results. / Sangwaiya, Minal Jagtiani; Marentis, Theodore C.; Walker, T. Gregory; Stecker, Michael; Wicky, Stephan T.; Kalva, Sanjeeva P.

In: Journal of Vascular and Interventional Radiology, Vol. 20, No. 9, 09.2009, p. 1188-1192.

Research output: Contribution to journalArticle

Sangwaiya, MJ, Marentis, TC, Walker, TG, Stecker, M, Wicky, ST & Kalva, SP 2009, 'Safety and Effectiveness of the Celect Inferior Vena Cava Filter: Preliminary Results', Journal of Vascular and Interventional Radiology, vol. 20, no. 9, pp. 1188-1192. https://doi.org/10.1016/j.jvir.2009.05.033
Sangwaiya, Minal Jagtiani ; Marentis, Theodore C. ; Walker, T. Gregory ; Stecker, Michael ; Wicky, Stephan T. ; Kalva, Sanjeeva P. / Safety and Effectiveness of the Celect Inferior Vena Cava Filter : Preliminary Results. In: Journal of Vascular and Interventional Radiology. 2009 ; Vol. 20, No. 9. pp. 1188-1192.
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title = "Safety and Effectiveness of the Celect Inferior Vena Cava Filter: Preliminary Results",
abstract = "Purpose: To evaluate the safety and effectiveness of the Celect inferior vena cava (IVC) filter during implantation, retrieval, and short-term follow-up. Materials and Methods: The clinical data of 73 patients (46 men; age range, 22-89 years) who had a Celect IVC filter implanted between August 2007 and June 2008 were reviewed. Twenty-one (28.8{\%}) presented with pulmonary embolism (PE), 15 (20.54{\%}) with deep vein thrombosis (DVT), 12 (16.4{\%}) with both, and the rest (34.26{\%}) with other symptoms. Indications for filter placement were contraindication to anticoagulation (n = 38; 52{\%}), prophylaxis/added protection (n = 22; 30{\%}), failure of anticoagulation (n = 11; 15{\%}), and complications of anticoagulation (n = 2; 3{\%}). Filters were placed in the infrarenal (n = 71) or suprarenal (n = 2) IVC. Follow-up data were reviewed for filter-related complications and recurrent PE. Results: All filters were successfully deployed. Immediately after fluoroscopy-guided filter deployment in 61 patients, four filters (6.5{\%}) showed significant tilt. During follow-up (mean, 68 days ± 73), three patients developed symptoms of PE after filter placement; however, computed tomographic (CT) pulmonary angiography demonstrated new PE in only two. Imaging follow-up with radiography (n = 32), CT (n = 11), and/or angiography (n = 4) in 47 patients (at a mean of 62 days ± 75) showed no filter migration. Follow-up abdominal CT (at a mean of 69 days ± 58) was available in 18 patients and demonstrated filter-related problems in seven (39{\%}). These included penetration of filter legs in four and fracture/migration of filter components in one. Fourteen filters were successfully retrieved after a median period of 84 days. Conclusions: The Celect IVC filter can be safely placed but is related to a high incidence of caval filter leg penetration. Symptomatic PE after filter placement confirmed by CT occurred in 2.8{\%} of patients.",
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AU - Sangwaiya, Minal Jagtiani

AU - Marentis, Theodore C.

AU - Walker, T. Gregory

AU - Stecker, Michael

AU - Wicky, Stephan T.

AU - Kalva, Sanjeeva P.

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N2 - Purpose: To evaluate the safety and effectiveness of the Celect inferior vena cava (IVC) filter during implantation, retrieval, and short-term follow-up. Materials and Methods: The clinical data of 73 patients (46 men; age range, 22-89 years) who had a Celect IVC filter implanted between August 2007 and June 2008 were reviewed. Twenty-one (28.8%) presented with pulmonary embolism (PE), 15 (20.54%) with deep vein thrombosis (DVT), 12 (16.4%) with both, and the rest (34.26%) with other symptoms. Indications for filter placement were contraindication to anticoagulation (n = 38; 52%), prophylaxis/added protection (n = 22; 30%), failure of anticoagulation (n = 11; 15%), and complications of anticoagulation (n = 2; 3%). Filters were placed in the infrarenal (n = 71) or suprarenal (n = 2) IVC. Follow-up data were reviewed for filter-related complications and recurrent PE. Results: All filters were successfully deployed. Immediately after fluoroscopy-guided filter deployment in 61 patients, four filters (6.5%) showed significant tilt. During follow-up (mean, 68 days ± 73), three patients developed symptoms of PE after filter placement; however, computed tomographic (CT) pulmonary angiography demonstrated new PE in only two. Imaging follow-up with radiography (n = 32), CT (n = 11), and/or angiography (n = 4) in 47 patients (at a mean of 62 days ± 75) showed no filter migration. Follow-up abdominal CT (at a mean of 69 days ± 58) was available in 18 patients and demonstrated filter-related problems in seven (39%). These included penetration of filter legs in four and fracture/migration of filter components in one. Fourteen filters were successfully retrieved after a median period of 84 days. Conclusions: The Celect IVC filter can be safely placed but is related to a high incidence of caval filter leg penetration. Symptomatic PE after filter placement confirmed by CT occurred in 2.8% of patients.

AB - Purpose: To evaluate the safety and effectiveness of the Celect inferior vena cava (IVC) filter during implantation, retrieval, and short-term follow-up. Materials and Methods: The clinical data of 73 patients (46 men; age range, 22-89 years) who had a Celect IVC filter implanted between August 2007 and June 2008 were reviewed. Twenty-one (28.8%) presented with pulmonary embolism (PE), 15 (20.54%) with deep vein thrombosis (DVT), 12 (16.4%) with both, and the rest (34.26%) with other symptoms. Indications for filter placement were contraindication to anticoagulation (n = 38; 52%), prophylaxis/added protection (n = 22; 30%), failure of anticoagulation (n = 11; 15%), and complications of anticoagulation (n = 2; 3%). Filters were placed in the infrarenal (n = 71) or suprarenal (n = 2) IVC. Follow-up data were reviewed for filter-related complications and recurrent PE. Results: All filters were successfully deployed. Immediately after fluoroscopy-guided filter deployment in 61 patients, four filters (6.5%) showed significant tilt. During follow-up (mean, 68 days ± 73), three patients developed symptoms of PE after filter placement; however, computed tomographic (CT) pulmonary angiography demonstrated new PE in only two. Imaging follow-up with radiography (n = 32), CT (n = 11), and/or angiography (n = 4) in 47 patients (at a mean of 62 days ± 75) showed no filter migration. Follow-up abdominal CT (at a mean of 69 days ± 58) was available in 18 patients and demonstrated filter-related problems in seven (39%). These included penetration of filter legs in four and fracture/migration of filter components in one. Fourteen filters were successfully retrieved after a median period of 84 days. Conclusions: The Celect IVC filter can be safely placed but is related to a high incidence of caval filter leg penetration. Symptomatic PE after filter placement confirmed by CT occurred in 2.8% of patients.

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