Direct superior vena cava puncture for inferior vena cava filter retrieval

Authors

Ashwin Deshmukh, Department of Radiology, Yale New Haven Health Bridgeport Hospital, Bridgeport, USA.
Gaurav Parmar, Department of Radiology, Yale New Haven Health Bridgeport Hospital, Bridgeport, USA.
Juan Carlos Lozada, Department of Radiology and Biomedical Imaging, Yale University, New Haven, USA.
Joshua Cornman-Homonoff, Department of Radiology and Biomedical Imaging, Yale University, New Haven, USA.

Document Type

Article

Publication Title

Diagnostic and interventional radiology (Ankara, Turkey)

Abstract

Most inferior vena cava (IVC) filters are designed for retrieval from a superior approach. Retrieval becomes technically challenging when the central veins in the chest are occluded. In a patient with thrombosis of the bilateral brachiocephalic veins, the authors describe direct puncture of the superior vena cava (SVC) under fluoroscopy, followed by the successful retrieval of a fractured IVC filter using forceps. A snare inserted into the SVC via the common femoral vein was used as a radiopaque target for direct SVC puncture from the lower neck. Cone beam computed tomography and pullback tractography were used to confirm a safe access trajectory. Thus, direct SVC access may be used for filter retrieval in similar clinical scenarios.

First Page

638

Last Page

639

DOI

10.4274/dir.2022.221551

Publication Date

7-20-2023

Recommended Citation

Deshmukh, Ashwin; Parmar, Gaurav; Lozada, Juan Carlos; and Cornman-Homonoff, Joshua, "Direct superior vena cava puncture for inferior vena cava filter retrieval" (2023). All Research. 29.
https://scholar.bridgeporthospital.org/all_research/29

Identifier

36976151 (pubmed); PMC10679639 (pmc); 10.4274/dir.2022.221551 (doi)