Color Duplex Ultrasound-Guided Cava Filter Placement


Device

Company

Material

Shape

Placement approach

Delivery catheter size (Fr)

Max caval diameter

FDA-approved usage

Stainless steel Greenfield

Boston Scientific, Natick, MA

Stainless steel

Conical, single level

Femoral or jugular

12

28

Permanent

Titanium Greenfield

Boston Scientific, Natick, MA

Titanium

Conical, single level

Femoral or jugular

12

28

Permanent

Simon nitinol

Bard Peripheral Vascular Inc., Tempe, AZ

Nitinol

Conical, bilevel

Femoral, jugular, or antecubital

7

28

Permanent

Denali

Bard Peripheral Vascular Inc., Tempe, AZ

Nitinol

Conical, bilevel

Femoral or jugular

8.4

28

Permanent or optional

Vena Tech (LGM and LP)

B. Braun Medical Inc./Vena Tech, Bethlehem, PA

Phynox

Conical, single level

Femoral or jugular

10 (LGM), 7 (LP)

28

Permanent

TrapEase

Cordis Co., Bridgewater, NJ

Nitinol

Double basket

Femoral, jugular, or antecubital

6

30

Permanent

OptEase

Cordis, Bridgewater, NJ

Nitinol

Double basket

Femoral, jugular, or antecubital

6

30

Permanent or optional

Bird’s nest

Cook Medical, Bloomington, IN

Stainless steel

Flexible

Femoral or jugular

12

40

Permanent

Gunther Tulip

Cook Medical Devices, Inc., Bloomington, IN

Conichrome

Conical, single level

Femoral or jugular

8.5 (femoral), 7 (jugular)

30

Permanent or optional

Celect

Cook Medical, Bloomington, IN

Conichrome

Conical, single level

Femoral or jugular

8.5 (femoral), 7 (jugular)

30

Permanent or optional

ALN Optional

ALN, Bormes-les-Mimosas, France

Stainless steel

Conical, single level

Femoral or jugular

7

28

Permanent or optional

Option

Argon Medical, Plano, TX

Nitinol

Conical, single level

Femoral or jugular

6.5

30

Permanent or optional

Crux

Crux Biomedical Inc., Menlo Park, CA

Nitinol

Helical

Femoral or jugular

9

17–28

Permanent or optional


Described technique of bedside inferior vena cava filter placement using trans-abdominal ultrasound is specific to Greenfield stainless steel and Cook Gunther Tulip/Celect filters. Adaptation of these techniques to other IVCF listed below may or may not be feasible and requires understanding of filter design and delivery catheter characteristics to allow adequate visualization with transabdominal ultrasound





Pre-procedural Imaging


A pre-procedure review of available images should be performed to ensure that the patient has favorable anatomy for IVCF placement and that the vena cava is of a suitable size to meet the IFUs for the intended device. Review of any available CT scan of the abdomen is helpful to predetermine IVC diameter, possible venous anomalies, suitability for bedside techniques, and IVCF selection. Pre-procedure extremity venous duplex ultrasound should be reviewed for the presence and location of DVT and to confirm a femoral access site free of thrombus. Based on review of pre-procedural imaging, if there are any concerns that bedside IVCF placement is not feasible, venographic guidance techniques should be used.

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Dec 8, 2017 | Posted by in CARDIOLOGY | Comments Off on Color Duplex Ultrasound-Guided Cava Filter Placement

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