Insertion and recovery of a new retrievable vena caval filter. Work in progress.
A new retrievable inferior vena cava (IVC) filter was tested in nine pigs. Insertion was through a 14 French sheath using both the femoral and jugular approaches. All insertions were successful, and there was a 100% postinsertion IVC patency rate (8/8 pigs at one week and 1/1 pig at one month). Addition of an apical hook to the filter design allowed transjugular retrieval of two filters at one week postinsertion. Three of nine filters migrated to the upper IVC. The filter's design allows paraxial blood flow despite trapped thrombus and inhibits filter tilting. In vitro, the filter captured 95% to 100% of 5 X 5 mm clots. If problems with migration can be solved, the new filter may provide effective short- and long-term prophylaxis against pulmonary embolism.
Teitelbaum
G P
GP
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
McGurrin
M
M
Davies
B L
BL
Moritz
M J
MJ
Carabasi
R A
RA
Jarrell
B E
BE
English
G W
GW
D000818:Animals; D002404:Catheterization / Q000379:methods*; D004867:Equipment Design; D005260:Female; D005374:Filtration / Q000295:instrumentation*; D007601:Jugular Veins; D008297:Male; D011655:Pulmonary Embolism / Q000517:prevention & control; D012039:Regional Blood Flow; D012834:Silver; D013193:Stainless Steel; D013552:Swine; D014682:Vena Cava, Inferior / Q000502:physiology
D013193:Stainless Steel; D012834:Silver