Electrophysiologic interventions in patients with inferior vena cava filters: safety and efficacy of the transfemoral approach.
OBJECTIVE
The purpose of this study was to evaluate the transfemoral venous approach for electrophysiologic interventions in patients with inferior vena cava filters.


BACKGROUND
Reports have detailed complications associated with obtaining central venous access in patients with inferior vena cava filters. Accordingly, electrophysiologic interventions have been modified or deferred altogether in such patients.


METHODS
Patients requiring interventions with a transfemoral approach who were at least 3 months post filter insertion underwent fluoroscopically guided insertion and withdrawal of electrode catheters with appropriate follow-up.


RESULTS
Five patients underwent successful pacing, electrophysiologic study, or radiofrequency ablation using one to three catheters, with no complications attributable to filter placement.


CONCLUSIONS
Transfemoral electrophysiologic interventions can be safely undertaken across vena cava filters provided appropriate precautions are taken.
Sinha
Sunil K
SK
Cardiac Electrophysiology Service, Section of Cardiology, Mount Sinai School of Medicine, New York, New York 10029, USA.
Harnick
David
D
Gomes
J Anthony
JA
Mehta
Davendra
D
D000368:Aged; D000369:Aged, 80 and over; D002304:Cardiac Pacing, Artificial; D017115:Catheter Ablation; D022062:Electrophysiologic Techniques, Cardiac; D005260:Female; D005268:Femoral Vein; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior