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Transabdominal Duplex Ultrasonography for Bedside Inferior Vena Cava Filter Placement: Examples, Technique, and Review

Department of Surgery, Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University College of Medicine, Syracuse New York, amankwak{at}upstate.edu, Interventional Radiology, Department of Veteran Affairs VA Healthcare Network Upstate New York at Syracuse, Syracuse, New York, Sections of Vascular Surgery Departement of Veteran Affairs VA Healthcare Network Upstate New York at Syracuse, Syracuse, New York

Keri Seymour, DO

Department of Surgery, Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University College of Medicine, Syracuse New York

Michael Costanza, MD

Department of Surgery, Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University College of Medicine, Syracuse New York, Sections of Vascular Surgery Departement of Veteran Affairs VA Healthcare Network Upstate New York at Syracuse, Syracuse, New York

Jeremy Berger, BSc

Department of Surgery, Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University College of Medicine, Syracuse New York

Vivian Gahtan, MD

Department of Surgery, Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University College of Medicine, Syracuse New York, Sections of Vascular Surgery Departement of Veteran Affairs VA Healthcare Network Upstate New York at Syracuse, Syracuse, New York

Pulmonary embolism remains an endemic challenge for public health care. The first line of treatment for venous thromboembolic disorder has been anticoagulation; however, in the absence of appropriate pharmacologic treatment, because of failure or contraindication, caval filter placement has been widely performed in the prevention of pulmonary embolism. Initially an open surgical procedure, technological advancements have allowed filter placement to be done percutaneously. Bedside filter placement in the intensive care unit with ultrasonographic imaging has been reported to be safe, effective, and reliable. In this report, we present an example, discuss our technique, and review the literature.

Key Words: transabdominal ultrasound • bedside IVC filter • pulmonary embolism • deep venous thrombosis

This version was published on August 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 4, 379-384 (2009)
DOI: 10.1177/1538574409332000


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