The Optional VenaTech((TM)) Convertible((TM)) Vena Cava Filter: Experimental Study in Sheep

作者：Le Blanche Alain F^*; Ricco Jean Baptiste; Bonneau Michel; Reynaud Philippe

来源：CardioVascular and Interventional Radiology, 2012, 35(5): 1181-1187.

DOI：10.1007/s00270-011-0273-0

• Experimental IR
• Inferior vena cava filter (IVC) placement
• Venous intervention
• Pulmonary embolism (PE)
• Thrombosis
• Deep vein thrombosis (DVT)
• Vena cava

Retrieval of optional caval filters may be impaired by filter tilting, migration, fracture, or embedding in the IVC wall. The goal of this experimental study was to evaluate a new optional filter, convertible by unlocking and removing the filter head. %26lt;br%26gt;Forty-nine Pre-Alp sheep (average weight, 55 kg) were anesthetized. IVC was catheterized via the right femoral vein (n = 46) or via the internal jugular vein (n = 3) with a 12.9-F sheath. VenaTech((TM)) Convertible((TM)) IVC filters were inserted as either permanent filters (n = 14) or as filters to be converted. Conversion was immediately after deployment (n = 19) or delayed after 1, 3, or 6 months (n = 20). Filter delivery, deployment, and conversion with measurement of migration and tilting were evaluated by cavography. Incorporation of the filter%26apos;s stabilizers and arms in the IVC wall was assessed by gross anatomy. %26lt;br%26gt;Delivery system insertion, filter release, and immediate conversion were successful in all cases. Delayed conversion was completed in all but one sheep, due to insufficient snare tension. Complimentary balloon-catheter inflation was required in 12 of 20 delayed conversions to achieve filter opening. In all 49 sheep, no thrombosis, migration, or significant tilting occurred. Within 4 weeks of conversion, the filter%26apos;s stabilizers and arms were incorporated into the IVC wall. Upon removal, the filter head was free of intimal growth. %26lt;br%26gt;The VenaTech((TM)) Convertible((TM)) optional IVC filter was successfully implanted in all sheep with no migration or tilting. Conversion at various dates by filter head removal was feasible in all but one case.

• 出版日期2012-10