Anatomic and Technical Considerations: Inferior Vena Cava Filter Placement

Abstract

Inferior vena cava (IVC) filters play an important role in preventing pulmonary embolism in patients with deep venous thrombosis. When preparing for IVC filter placement, there are several important anatomic and technical considerations. The IVC has complex embryologic origins, and normal variants are relatively common which may necessitate a change in technique or approach. When performing the procedure, the choice in imaging modality for deployment, location of deployment, and route of access must be considered. The pediatric and pregnant populations present unique situations that require special consideration and close examination of indications and contraindications.

Keywords

IVC anatomy - IVC filter - interventional radiology

• References

• 1 Kaufman JA, Lee MJ. Vascular and interventional radiology. 2nd edition. Philadelphia, PA: Elsevier Saunders; 2014: 287-292
• 2 Smillie RP, Shetty M, Boyer AC, Madrazo B, Jafri SZ. Imaging evaluation of the inferior vena cava. Radiographics 2015; 35 (2) 578-592
• 3 Awais M, Rehman A, Baloch NU-A, Salam B. Multiplanar imaging of inferior vena cava variants. Abdom Imaging 2015; 40 (1) 159-166
• 4 Spentzouris G, Zandian A, Cesmebasi A , et al. The clinical anatomy of the inferior vena cava: a review of common congenital anomalies and considerations for clinicians. Clin Anat 2014; 27 (8) 1234-1243
• 5 Kandpal H, Sharma R, Gamangatti S, Srivastava DN, Vashisht S. Imaging the inferior vena cava: a road less traveled. Radiographics 2008; 28 (3) 669-689
• 6 Harvey JJ, Hopkins J, McCafferty IJ, Jones RG. Inferior vena cava filters: what radiologists need to know. Clin Radiol 2013; 68 (7) 721-732
• 7 Kandarpa K, Machan L. Handbook of Interventional Radiologic Procedures. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins Health; 2011
• 8 Weinberg I, Kaufman J, Jaff MR. Inferior vena cava filters. JACC Cardiovasc Interv 2013; 6 (6) 539-547
• 9 Petik B. Inferior vena cava anomalies and variations: imaging and rare clinical findings. Insights Imaging 2015; Available at: http://link.springer.com/10.1007/s13244-015-0431-z . Accessed March 24, 2016
• 10 Knott EM, Beacham B, Fry WR. New technique to prevent tilt during inferior vena cava filter placement. J Vasc Surg 2012; 55 (3) 869-871
• 11 Kalva SP, Chlapoutaki C, Wicky S, Greenfield AJ, Waltman AC, Athanasoulis CA. Suprarenal inferior vena cava filters: a 20-year single-center experience. J Vasc Interv Radiol 2008; 19 (7) 1041-1047
• 12 Hodgkiss-Harlow K, Back MR, Brumberg R , et al. Technical factors affecting the accuracy of bedside IVC filter placement using intravascular ultrasound. Vasc Endovascular Surg 2012; 46 (4) 293-299
• 13 Rottenstreich A, Revel-Vilk S, Bloom AI, Kalish Y. Inferior vena cava (IVC) filters in children: A 10-year single center experience. Pediatr Blood Cancer 2015; 62 (11) 1974-1978
• 14 Blevins EM, Glanz K, Huang Y-SV, Raffini L, Shinohara RT, Witmer C. A multicenter cohort study of inferior vena cava filter use in children. Pediatr Blood Cancer 2015; 62 (12) 2089-2093
• 15 Gupta S, Ettles DF, Robinson GJ, Lindow SW. Inferior vena cava filter use in pregnancy: preliminary experience. BJOG 2008; 115 (6) 785-788
• 16 Kiguchi MM, Dillavou ED. IVC filters: challenges and future directions. Adv Vasc Med 2014; 201: 6