Diagnostic and Interventional Radiology
Interventional Radiology - Original Article

Lateral tilt during IVC filter placement does not predict the need for advanced filter retrieval techniques

1.

Dotter Department of Interventional Radiology, Oregon Health and Science University, Portland, Oregon, USA

Diagn Interv Radiol 2021; 27: 644-648
DOI: 10.5152/dir.2021.19411
Read: 222 Downloads: 61 Published: 10 September 2020

PURPOSE 
We aimed to determine if lateral inferior vena cava (IVC) filter tilt at placement predicts the need for subsequent advanced retrieval techniques.

METHODS
A retrospective chart review was performed of all Gunther Tulip IVC filter placements with subsequent retrievals between February 2015 and October 2017. Chart and imaging review was performed for patient, filter placement, and filter retrieval demographics/characteristics. Degree of agreement between two measurement sets was evaluated with the intraclass correlation (ICC) analysis. Categorical variables were compared with chi-square or Fisher exact test, as appropriate. Kendall rank correlation was used to measure correlation between categorical variables.

RESULTS
There was poor agreement between filter tilt angle at the time of placement and retrieval (ICC coefficient, 0.54). Mean difference ± standard deviation between tilt angle at the time of placement and retrieval was 4.6°±4.3° (p = 0.35). Among patient- or procedure-related factors, a common femoral vein access on placement (regression coefficient, -2.90; p = 0.039) was associated with a lower difference between placement and retrieval filter tilt angles compared to internal jugular vein access. Higher filter tilt angle measured at the time of retrieval (OR: 1.19, p = 0.025), hook embedment (OR: 77.3, p < 0.001), and a longer dwell time (OR: 1.25, p = 0.002) were associated with the need for advanced retrieval techniques. However, in univariate and multivariate analysis filter tilt angle at the time of placement was not associated with the subsequent need for advanced retrieval technique (p = 0.16).

CONCLUSION
Lateral tilt at the time of placement is poorly associated with lateral tilt at the time of retrieval and does not correlate with the need for advanced retrieval technique.

You may cite this article as: White P, Jahangiri Y, Farsad K, Kaufman JA, Al-Hakim RA. Lateral tilt during IVC filter placement does not predict the need for advanced filter retrieval techniques. Diagn Interv Radiol 2021; 27: 644–648

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