title: Günther Tulip inferior vena cava filter retrieval using a bidirectional loop-snare technique.
abstract: Many advanced techniques have been reported in the literature for difficult Günther Tulip filter removal. This report describes a bidirectional loop-snare technique in the setting of a fibrin scar formation around the filter leg anchors. The bidirectional loop-snare technique allows for maximal axial tension and alignment for stripping fibrin scar from the filter legs, a commonly encountered complication of prolonged dwell times.
authors.affiliation: Department of Interventional Radiology, University of Washington School of Medicine, Seattle, Washington, USA. jross60@uw.edu.
authors.forename: Jordan
authors.initials: J
authors.lastname: Ross
authors.forename: Stephen
authors.initials: S
authors.lastname: Allison
authors.forename: Sandeep
authors.initials: S
authors.lastname: Vaidya
authors.forename: Eric
authors.initials: E
authors.lastname: Monroe
mesh_terms: D020878:Device Removal / Q000295:instrumentation* / Q000379:methods*; D058625:End Stage Liver Disease / Q000150:complications; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000628:therapy*