title: The transition to IVUS-guided IVC filter deployment in the nontrauma patient.
abstract: While prior reports have demonstrated intravascular ultrasound (IVUS)-guided inferior vena cava filter (IVCF) deployment to be feasible, larger reviews using the latest generation of filters in the nontrauma setting are absent. We review our experience with the deployment of 104 IVCFs using IVUS, whereby we transition from a combined use of IVUS with traditional road mapping techniques (venography and/or renal vein cannulation) to the sole use of the IVUS as the road mapping tool for IVCF insertion. The use of IVUS for IVCF deployment minimizes radiation exposure to patients and staff, minimizes patient contrast exposure, and minimizes dependency on auxiliary staff for fluoroscopy. Intravascular ultrasound IVCF deployments can be performed without increasing morbidity and mortality, case duration, or overall costs when compared to standard deployments. The learning curve for transitioning into the use of the IVUS as the primary road mapping tool for IVCF deployments is approximately 20 cases.
authors.affiliation: Department of Surgery, Monmouth Medical Center, Long Branch, NJ 07740, USA. dkassavin@gmail.com
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Kassavin
authors.forename: George
authors.initials: G
authors.lastname: Constantinopoulos
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence; D005260:Female; D006801:Humans; D059032:Learning Curve; D008297:Male; D008875:Middle Aged; D009515:New Jersey; D010690:Phlebography; D011655:Pulmonary Embolism / Q000517:prevention & control*; D015641:Radiography, Interventional; D012189:Retrospective Studies; D018084:Ultrasonography, Interventional; D016306:Vena Cava Filters / Q000009:adverse effects; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging*