The Teaching Point

Long indwelling inferior vena cava filters can be removed safely via a percutaneous endovascular approach even up to 7000 days after implantation.






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From the manuscript

Endovascular retrieval of Greenfield IVC filters 13 and 19 years post placement without major complication

Free full text article: Endovascular retrieval of Greenfield IVC filters 13 and 19 years post placement without major complication

Abstract
Inferior vena cava (IVC) filters were first introduced in 1967 by Kazi Mobin-Uddin and later improved by Lazar Greenfield in the 1980s becoming a major component of catastrophic pulmonary embolism prevention. Nevertheless, filters are not entirely harmless. The long term risks include caval thrombosis, visceral penetration, and filters can serve as a nidus for infection. Filter retrieval is often complicated by intimal hyperplasia especially with increased indwelling time. Historically, Greenfield filters in place for longer than 3 weeks were considered permanent due to the risks of retrieval. Herein we present 2 cases of successful retrieval of Greenfield filters 13 and 19 years post implantation.






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