title: Guide wire entrapment in a vena cava filter: techniques for dislodgement.
abstract: Entrapment of a central venous catheter (CVC) guide wire in an inferior vena cava (IVC) filter is a rare, but reported complication during CVC placement. With the increasing use of IVC filters, this number will most likely continue to grow. The consequences of this complication can be serious, as continued traction upon the guide wire may result in filter dislodgement and migration, filter fracture, or injury to the IVC. In this article, we review the various preferred techniques reported in the literature for removal of the entrapped guide wire in particular situations, along with their indications, advantages, and disadvantages. We present simple useful recommendations to prevent this complication.
authors.affiliation: Department of Radiology, Section of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, AL 35249, USA. akamel@uabmc.edu
authors.forename: Ahmed K
authors.initials: AK
authors.lastname: Abdel-Aal
authors.forename: Souheil
authors.initials: S
authors.lastname: Saddekni
authors.forename: Maysoon F
authors.initials: MF
authors.lastname: Hamed
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D062905:Central Venous Catheters / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D004868:Equipment Failure; D006801:Humans; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome; D016306:Vena Cava Filters / Q000009:adverse effects*