Placement and retrieval of bilateral iliac vein filters in patients with mega cava

Anand Brahmandam; Scott Grubman; Ronald Salem; Kimberly A Davis; Britt H Tonnessen; Raul J Guzman; Cassius Iyad Ochoa Chaar

doi:10.1016/j.jvscit.2022.08.002

Placement and retrieval of bilateral iliac vein filters in patients with mega cava

J Vasc Surg Cases Innov Tech. 2022 Aug 18;8(4):610-615. doi: 10.1016/j.jvscit.2022.08.002. eCollection 2022 Dec.

Authors

Anand Brahmandam¹, Scott Grubman², Ronald Salem³, Kimberly A Davis⁴, Britt H Tonnessen¹, Raul J Guzman¹, Cassius Iyad Ochoa Chaar¹

Affiliations

¹ Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CT.
² Yale University School of Medicine, New Haven, CT.
³ Division of Surgical Oncology, Department of Surgery, Yale University School of Medicine, New Haven, CT.
⁴ Division of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale University School of Medicine, New Haven, CT.

Abstract

Temporary interruption of the inferior vena cava is the recommended treatment to prevent pulmonary embolism in patients with venous thromboembolism (VTE) and active contraindications for therapeutic anticoagulation. In patients with mega cava (diameter >30 mm), temporary inferior vena cava filters are contraindicated. In the present report, we have described the successful placement and retrieval of bilateral iliac vein filters in two patients with VTE, mega cava, and active contraindications for therapeutic anticoagulation. At the last follow-up, both patients had recovered without recurrent VTE and had had all filters successfully retrieved without complications.

Keywords: Hangman technique; Iliac vein filter; Mega cava; Temporary inferior vena cava filter; Wire-loop technique.

Publication types

Case Reports

Abstract

Publication types

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