title: Late endovascular removal of Günther-Tulip inferior vena cava filter and stent reconstruction of chronic post-thrombotic iliocaval obstruction after 4753 days of filter dwell time: a case report with review of literature.
abstract: Chronic post-thrombotic obstruction of the inferior vena cava (IVC) or iliocaval junction is an uncommon complication of long indwelling IVC filter. When such an obstruction is symptomatic, endovascular treatment options include stent placement with or without filter retrieval. Filter retrieval becomes increasingly difficult with longer dwell times. We present a case of symptomatic post-thrombotic obstruction of the iliocaval junction related to Günther-Tulip IVC filter (Cook Medical Inc, Bloomington, IN) with dwell time of 4753 days, treated successfully with endovascular filter removal and stent reconstruction. Filter retrieval and stent reconstruction may be a treatment option in symptomatic patients with filter-related chronic IVC or iliocaval junction obstruction, even after prolonged dwell time.
authors.affiliation: Division of Vascular Interventional Radiology, Department of Interventional Radiology, University of Miami Miller School of Medicine, 1475 NW 12th Avenue Grd Fl. C-085, Miami, FL 33136, USA.
authors.forename: Mehul Harshad
authors.initials: MH
authors.lastname: Doshi
authors.affiliation: Division of Vascular Interventional Radiology, Department of Radiology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
authors.forename: Govindarajan
authors.initials: G
authors.lastname: Narayanan
keywords: Günther-Tulip filter removal; IVC stent