Real-time intravascular ultrasound-guided placement of a removable inferior vena cava filter

Eric D. Wellons, David Rosenthal, Frederick W. Shuler, Adam B. Levitt, John Matsuura, Vernon J. Henderson, Dennis W. Ashley, John T. Owings, David G. Jacobs

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Background: Reports have demonstrated the benefit of prophylactic inferior vena cava filter (IVCF) placement to prevent pulmonary embolism. This series evaluates the potential for the bedside placement of a removable IVCF under "real-time" intravascular ultrasound (IVUS) guidance. Methods: Twenty trauma patients underwent intensive care unit placement of a removable IVCF with IVUS guidance. All patients had ultrasonography of the femoral veins after placement to rule out postprocedure femoral vein thrombosis and radiographs to identify filter location. Nineteen of 20 IVCFs were placed at approximately the L2 level as verified by radiography. One patient had a large IVC (34mm) and underwent bilateral common iliac IVCF placement under IVUS. Within 3 weeks of placement, 12 IVCFs were retrieved. Of the remaining eight patients, six had indications for permanent implantation, two had contralateral deep venous thrombosis, and one had ipsilateral deep venous thrombosis. Conclusion: Bedside insertion of a removable IVCF with IVUS guidance and its removal are simple, safe, and accurate.

Original languageEnglish (US)
Pages (from-to)20-25
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume57
Issue number1
StatePublished - Jul 2004

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Keywords

  • Inferior vena cava filter (IVCF)
  • Intravascular ultrasound (IVUS)
  • Removable

ASJC Scopus subject areas

  • Surgery

Cite this

Wellons, E. D., Rosenthal, D., Shuler, F. W., Levitt, A. B., Matsuura, J., Henderson, V. J., Ashley, D. W., Owings, J. T., & Jacobs, D. G. (2004). Real-time intravascular ultrasound-guided placement of a removable inferior vena cava filter. Journal of Trauma - Injury, Infection and Critical Care, 57(1), 20-25.