Guidewire loop dissection technique for filter strut endothelialization

Complex inferior vena cava (IVC) filter retrieval was usually in need of advanced techniques. Filter strut endothelialization without tilt of the filter was still one of the challenges. Therefore, we would like to describe the guidewire loop dissection technique, which required no extra equipment, to solve the problem. A 53-year-old male had IVC filter for 8 months. Venogram showed no tilt of the apex and endothelialization of struts. The hook was snared but the filter cannot be retrieved. A fine guidewire was then advanced and formed a loop between the strut and caval wall.

Source: Annals of Vascular Surgery - May 6, 2019 Category: Surgery Authors: Chenyang Qiu, Yangyan He, Yilang Xiang, Ziheng Wu, Qianqian Zhu, Hongkun Zhang, Xiaohui Wang Tags: Case Report Source Type: research