Page 45 - Virtual Vascular Vol 8

IVC Filter: Failed Retrieval “Double waveform” of jugular venous pressure

IVC Filter retrieval.mp4
jvp.mp4

Peak venous pressure occurs during atrial contraction “peak a”, and ventricular

contraction “peak c” when the tricuspid value is closed and slightly bulging towards the
While modern IVC Filters are often designed to be retrievable and thus temporary, retrieval
can be met with difficulties. Sometimes these filters will become permanent. atrium.

In this 57-year old patient a transfemoral retrieval of an IVC filter (Cordis Optease) place 2 Due to a change in intra-thoracic pressure, the effect of ventilation/ respiration in
months ago was not successful. Snared from below and withdrawn into a sheath, the tip affecting the venous filling can also be seen.
of the filter was adherent to the IVC wall. Significant spasm of the IVC was noted and the
retrieval was abandoned.

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