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Venographic Findings at Retrieval of Inferior Vena Cava Filters

Christoph A. Binkert1, Megan Chew Morash1 and Jonathan D. Gates2

1 Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St., Boston, MA 02115.
2 Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.


Figure 1
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  		Fig. 1A —56-year-old woman who had undergone resection of carotid cavernous fistula and received inferior vena cava filter after detection of peroneal deep venous thrombosis. Venogram at retrieval shows large clot trapped in filter.

 

Figure 2
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  		Fig. 1B —56-year-old woman who had undergone resection of carotid cavernous fistula and received inferior vena cava filter after detection of peroneal deep venous thrombosis. Follow-up venogram shows clot has dissolved. Patient wanted to keep filter.

 

Figure 3
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  		Fig. 2A —56-year-old man who received inferior vena cava (IVC) filter because of severe epistaxis during anticoagulation for pulmonary embolism. Arrowhead indicates inflow of right renal vein. Venogram before retrieval shows filter tilted to IVC wall (arrow).

 

Figure 4
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  		Fig. 2B —56-year-old man who received inferior vena cava (IVC) filter because of severe epistaxis during anticoagulation for pulmonary embolism. Arrowhead indicates inflow of right renal vein. Venogram after retrieval shows stenosis present where tip (arrow) of filter had been.

 

Figure 5
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  		Fig. 2C —56-year-old man who received inferior vena cava (IVC) filter because of severe epistaxis during anticoagulation for pulmonary embolism. Arrowhead indicates inflow of right renal vein. Follow-up venogram shows normal findings.

 

Figure 6
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  		Fig. 3A —47-year-old male trauma patient who received inferior vena cava filter for intracranial hemorrhage and multiple fractures. Venogram before retrieval shows filling defect around filter tip (arrow).

 

Figure 7
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  		Fig. 3B —47-year-old male trauma patient who received inferior vena cava filter for intracranial hemorrhage and multiple fractures. Venogram after retrieval shows irregular stenosis (arrow) remains.

 

Figure 8
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  		Fig. 3C —47-year-old male trauma patient who received inferior vena cava filter for intracranial hemorrhage and multiple fractures. Follow-up venogram shows stenosis but with smoother contour (arrow) than in B.

 

Figure 9
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  		Fig. 4A —33-year-old woman who had undergone intracranial aneurysm clipping received inferior vena cava (IVC) filter for recent pulmonary embolism. Venogram after filter retrieval, which required increased force, shows sharply delineated IVC wall abnormality with small amount of contrast material (arrow) outside IVC lumen. Arrowhead indicates indentation of right common iliac artery.

 

Figure 10
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  		Fig. 4B —33-year-old woman who had undergone intracranial aneurysm clipping received inferior vena cava (IVC) filter for recent pulmonary embolism. Photograph of explanted Günther Tulip (Cook Incorporated) filter shows residual tissue (arrows) that has grown between legs and secondary wire.

 

Figure 11
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  		Fig. 4C —33-year-old woman who had undergone intracranial aneurysm clipping received inferior vena cava (IVC) filter for recent pulmonary embolism. Follow-up venogram shows IVC irregularity is no longer visible. Arrowhead indicates indentation of right common iliac artery.

 

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