Denali, Tulip, and Option Inferior Vena Cava Filter Retrieval: A Single Center Experience

Purpose To compare the technical success of filter retrieval in Denali, Tulip, and Option inferior vena cava filters. Materials and Methods A retrospective analysis of Denali, Gunther Tulip, and Option IVC filters was conducted. Retrieval failure rates, fluoroscopy time, sedation time, use of advanc...

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Veröffentlicht in:Cardiovascular and interventional radiology 2018-04, Vol.41 (4), p.572-577
Hauptverfasser: Ramaswamy, Raja S., Jun, Emily, van Beek, Darren, Mani, Naganathan, Salter, Amber, Kim, Seung K., Akinwande, Olaguoke
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container_end_page 577
container_issue 4
container_start_page 572
container_title Cardiovascular and interventional radiology
container_volume 41
creator Ramaswamy, Raja S.
Jun, Emily
van Beek, Darren
Mani, Naganathan
Salter, Amber
Kim, Seung K.
Akinwande, Olaguoke
description Purpose To compare the technical success of filter retrieval in Denali, Tulip, and Option inferior vena cava filters. Materials and Methods A retrospective analysis of Denali, Gunther Tulip, and Option IVC filters was conducted. Retrieval failure rates, fluoroscopy time, sedation time, use of advanced retrieval techniques, and filter-related complications that led to retrieval failure were recorded. Results There were 107 Denali, 43 Option, and 39 Tulip filters deployed and removed with average dwell times of 93.5, 86.0, and 131 days, respectively. Retrieval failure rates were 0.9% for Denali, 11.6% for Option, and 5.1% for Tulip filters (Denali vs. Option p  = 0.018; Denali vs. Tulip p  = 0.159; Tulip vs. Option p  = 0.045). Median fluoroscopy time for filter retrieval was 3.2 min for the Denali filter, 6.75 min for the Option filter, and 4.95 min for the Tulip filter (Denali vs. Option p  
doi_str_mv 10.1007/s00270-017-1866-z
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Materials and Methods A retrospective analysis of Denali, Gunther Tulip, and Option IVC filters was conducted. Retrieval failure rates, fluoroscopy time, sedation time, use of advanced retrieval techniques, and filter-related complications that led to retrieval failure were recorded. Results There were 107 Denali, 43 Option, and 39 Tulip filters deployed and removed with average dwell times of 93.5, 86.0, and 131 days, respectively. Retrieval failure rates were 0.9% for Denali, 11.6% for Option, and 5.1% for Tulip filters (Denali vs. Option p  = 0.018; Denali vs. Tulip p  = 0.159; Tulip vs. Option p  = 0.045). Median fluoroscopy time for filter retrieval was 3.2 min for the Denali filter, 6.75 min for the Option filter, and 4.95 min for the Tulip filter (Denali vs. Option p  &lt; 0.01; Denali vs. Tulip p  &lt; 0.01; Tulip vs. Option p  = 0.67). Advanced retrieval techniques were used in 0.9% of Denali filters, 21.1% in Option filters, and 10.8% in Tulip filters (Denali vs. Option p  &lt; 0.01; Denali vs. Tulip p  &lt; 0.01; Tulip vs. Option p  &lt; 0.01). Discussion Filter retrieval failure rates were significantly higher for the Option filter when compared to both the Denali and Tulip filters. Retrieval of the Denali filter required significantly less amount of fluoroscopy time and use of advanced retrieval techniques when compared to both the Option and Tulip filters. The findings of this study indicate easier retrieval of the Denali and Tulip IVC filters when compared to the Option filter.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-017-1866-z</identifier><identifier>PMID: 29260304</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Cardiology ; Clinical Investigation ; Complications ; Coronary vessels ; Failure rates ; Filters ; Fluoroscopy ; Imaging ; Medical equipment ; Medicine ; Medicine &amp; Public Health ; Nuclear Medicine ; Pulmonary embolisms ; Radiology ; Retrieval ; Transplants &amp; implants ; Ultrasound ; Vascular surgery</subject><ispartof>Cardiovascular and interventional radiology, 2018-04, Vol.41 (4), p.572-577</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2017</rights><rights>CardioVascular and Interventional Radiology is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-1f766f2386f7efc723f44556adae362c0cc109fc5501ba777faba71d011685a33</citedby><cites>FETCH-LOGICAL-c372t-1f766f2386f7efc723f44556adae362c0cc109fc5501ba777faba71d011685a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-017-1866-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-017-1866-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29260304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ramaswamy, Raja S.</creatorcontrib><creatorcontrib>Jun, Emily</creatorcontrib><creatorcontrib>van Beek, Darren</creatorcontrib><creatorcontrib>Mani, Naganathan</creatorcontrib><creatorcontrib>Salter, Amber</creatorcontrib><creatorcontrib>Kim, Seung K.</creatorcontrib><creatorcontrib>Akinwande, Olaguoke</creatorcontrib><title>Denali, Tulip, and Option Inferior Vena Cava Filter Retrieval: A Single Center Experience</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose To compare the technical success of filter retrieval in Denali, Tulip, and Option inferior vena cava filters. Materials and Methods A retrospective analysis of Denali, Gunther Tulip, and Option IVC filters was conducted. Retrieval failure rates, fluoroscopy time, sedation time, use of advanced retrieval techniques, and filter-related complications that led to retrieval failure were recorded. Results There were 107 Denali, 43 Option, and 39 Tulip filters deployed and removed with average dwell times of 93.5, 86.0, and 131 days, respectively. Retrieval failure rates were 0.9% for Denali, 11.6% for Option, and 5.1% for Tulip filters (Denali vs. Option p  = 0.018; Denali vs. Tulip p  = 0.159; Tulip vs. Option p  = 0.045). Median fluoroscopy time for filter retrieval was 3.2 min for the Denali filter, 6.75 min for the Option filter, and 4.95 min for the Tulip filter (Denali vs. Option p  &lt; 0.01; Denali vs. Tulip p  &lt; 0.01; Tulip vs. Option p  = 0.67). Advanced retrieval techniques were used in 0.9% of Denali filters, 21.1% in Option filters, and 10.8% in Tulip filters (Denali vs. Option p  &lt; 0.01; Denali vs. Tulip p  &lt; 0.01; Tulip vs. Option p  &lt; 0.01). Discussion Filter retrieval failure rates were significantly higher for the Option filter when compared to both the Denali and Tulip filters. Retrieval of the Denali filter required significantly less amount of fluoroscopy time and use of advanced retrieval techniques when compared to both the Option and Tulip filters. 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Materials and Methods A retrospective analysis of Denali, Gunther Tulip, and Option IVC filters was conducted. Retrieval failure rates, fluoroscopy time, sedation time, use of advanced retrieval techniques, and filter-related complications that led to retrieval failure were recorded. Results There were 107 Denali, 43 Option, and 39 Tulip filters deployed and removed with average dwell times of 93.5, 86.0, and 131 days, respectively. Retrieval failure rates were 0.9% for Denali, 11.6% for Option, and 5.1% for Tulip filters (Denali vs. Option p  = 0.018; Denali vs. Tulip p  = 0.159; Tulip vs. Option p  = 0.045). Median fluoroscopy time for filter retrieval was 3.2 min for the Denali filter, 6.75 min for the Option filter, and 4.95 min for the Tulip filter (Denali vs. Option p  &lt; 0.01; Denali vs. Tulip p  &lt; 0.01; Tulip vs. Option p  = 0.67). Advanced retrieval techniques were used in 0.9% of Denali filters, 21.1% in Option filters, and 10.8% in Tulip filters (Denali vs. Option p  &lt; 0.01; Denali vs. Tulip p  &lt; 0.01; Tulip vs. Option p  &lt; 0.01). Discussion Filter retrieval failure rates were significantly higher for the Option filter when compared to both the Denali and Tulip filters. Retrieval of the Denali filter required significantly less amount of fluoroscopy time and use of advanced retrieval techniques when compared to both the Option and Tulip filters. The findings of this study indicate easier retrieval of the Denali and Tulip IVC filters when compared to the Option filter.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29260304</pmid><doi>10.1007/s00270-017-1866-z</doi><tpages>6</tpages></addata></record>
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subjects Cardiology
Clinical Investigation
Complications
Coronary vessels
Failure rates
Filters
Fluoroscopy
Imaging
Medical equipment
Medicine
Medicine & Public Health
Nuclear Medicine
Pulmonary embolisms
Radiology
Retrieval
Transplants & implants
Ultrasound
Vascular surgery
title Denali, Tulip, and Option Inferior Vena Cava Filter Retrieval: A Single Center Experience
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