Use of a Fogarty catheter to open an incompletely expanded Vena Tech-LGM vena cava filter--a case report.
A Vena Tech-LGM 30D/U filter (B. Braun/Vena Tech; Evanston, IL) opened incompletely after transjugular placement in the infrarenal vena cava. The cephalic points of the stabilizing side rails were open and had engaged the caval wall. The base of the filter failed to open. The filter would not successfully inhibit the clots and could possibly migrate. The filter base was not placed in a clot as shown with intraoperative venography before and after the placement. The balloon of a 6F Fogarty catheter was used successfully to dilate the distal legs of the filter, and fully expand the base.
Danikas
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Division of Vascular Surgery, Monmouth Medical Center, Long Branch, New Jersey, USA. Ddanikas@onebox.com
Constantinopoulous
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Stratoulias
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Ginalis
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EM
D000368:Aged; D002404:Catheterization / Q000295:instrumentation*; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005268:Femoral Vein; D006801:Humans; D010690:Phlebography; D011152:Popliteal Vein; D011475:Prosthesis Failure; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy