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Vascular and Endovascular Surgery
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Experimental Evaluation of a Retrievable Vena Cava Filter

Nobuo Nakagawa

Department of Radiology, The University of Iowa College of Medicine, Iowa City, Iowa

Andrew H. Cragg

Department of Radiology, The University of Iowa College of Medicine, Iowa City, Iowa

Tony P. Smith

Department of Radiology, The University of Iowa College of Medicine, Iowa City, Iowa

Flavio Castaneda

Department of Radiology, The University of Iowa College of Medicine, Iowa City, Iowa

Steve C. De Jong

Department of Radiology, The University of Iowa College of Medicine, Iowa City, Iowa

William H. Barnhart

Department of Radiology, The University of Iowa College of Medicine, Iowa City, Iowa

A new retrievable filter, consisting of a helical basket of ten stainless steel wires and a retrieval cable, was tested in 7 adult sheep. The filter was inserted into the infrarenal vena cava through a 9-F sheath and fixed subcutaneously by a stabilizing ball at the skin insertion site. An average of 15.6 days after the filter placement, a follow-up cavography and clot-trapping tests were performed. The filter was retrieved through a 9-F sheath. Although all of the filters were free of thrombi and all of the inferior venae cavae were patent with good flow, two caval stenoses were noted below the filter. All 4 x 30 mm clots were trapped by the filter. Five filters were retrieved successfully; however, two filters could not be retrieved. Although these initial animal studies have shown this basket-type filter to be less than ideal, the development of a filter than can be successfully retrieved is essential for expanding the application of vena cava filters.

Vascular and Endovascular Surgery, Vol. 28, No. 1, 7-14 (1994)
DOI: 10.1177/153857449402800102


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