Denali Inferior Vena Cava Filter Retrieval: Complications and Success Rates

Purpose The present study was to evaluate the outcomes of Denali filter retrieval. Materials and Methods We retrospectively reviewed 143 patients who received Denali filter insertion from September 2015 to April 2020. Ninety-seven patients who required removal of the filters were include in this study. Filters were retrieved with either standard or advanced techniques. Venography before and after retrieval was obtained to evaluate technical success, complications and duration of filter insertion. Results All 97 filters were retrieved successfully without complications. Ninety-two (94.8%) were retrieved with standard technique and 5 filters (5.2%) required the advanced technique. There were two cases with a filter angle greater than 15 degrees. Inferior vena cava penetration was shown in 17 patients (17.5%) on venography but was not associated with contrast media extravasation after filter removal. Conclusion The Denali filter showed a high rate of successful retrieval without complications. This study adds value to previous studies and trials showing that the Denali filter is a reliable and safe filter that can potentially improve retrieval rates, with increasing use of this device.

[1]  Constance Delamadeleine Location , 2021, Multiple Voices.

[2]  S. Partovi,et al.  Inferior vena cava filter - comprehensive overview of current indications, techniques, complications and retrieval rates. , 2020, VASA. Zeitschrift fur Gefasskrankheiten.

[3]  Arm Fracture , 2020, Definitions.

[4]  S. Tewari,et al.  The role of an IVC filter retrieval clinic—A single center retrospective analysis , 2019, Indian Journal of Radiology and Imaging.

[5]  A. Westphalen,et al.  Complications of Retrievable Inferior Vena Cava Filters: A Retrospective Comparison of Denali and Option-ELITE Filters , 2018, Journal of Clinical Interventional Radiology ISVIR.

[6]  So Mi Lee,et al.  Femoral versus jugular access for Denali Vena Cava Filter placement: Analysis of fluoroscopic time, filter tilt and retrieval outcomes. , 2018, Clinical imaging.

[7]  Sang Yub Lee,et al.  Filter tilting and retrievability of the Celect and Denali inferior vena cava filters using propensity score-matching analysis , 2018, European journal of radiology open.

[8]  S. Kim,et al.  Denali, Tulip, and Option Inferior Vena Cava Filter Retrieval: A Single Center Experience , 2018, CardioVascular and Interventional Radiology.

[9]  X. Pan,et al.  Retrieval characteristics of the Bard Denali and Argon Option inferior vena cava filters. , 2017, Journal of vascular surgery. Venous and lymphatic disorders.

[10]  S. Stavropoulos,et al.  Management of Fractured Inferior Vena Cava Filters: Outcomes by Fragment Location. , 2017, Radiology.

[11]  A. Jhamb,et al.  Bard DENALI Inferior Vena Cava Filter: Another "Arm" Fracture. , 2016, Journal of vascular and interventional radiology : JVIR.

[12]  S. Stavropoulos,et al.  Analysis of the Final DENALI Trial Data: A Prospective, Multicenter Study of the Denali Inferior Vena Cava Filter. , 2016, Journal of vascular and interventional radiology : JVIR.

[13]  Mikin V Patel,et al.  Indwelling and Retrieval Complications of Denali and Celect Infrarenal Vena Cava Filters. , 2016, Journal of vascular and interventional radiology : JVIR.

[14]  D. Hahn Retrievable Filter Update: The Denali Vena Cava Filter. , 2015, Seminars in interventional radiology.

[15]  J. Spain,et al.  Caval Penetration by Inferior Vena Cava Filters: A Systematic Literature Review of Clinical Significance and Management. , 2015, Circulation.

[16]  S. Stavropoulos,et al.  The DENALI Trial: an interim analysis of a prospective, multicenter study of the Denali retrievable inferior vena cava filter. , 2014, Journal of vascular and interventional radiology : JVIR.

[17]  S. Kalva,et al.  Quality improvement guidelines for the performance of inferior vena cava filter placement for the prevention of pulmonary embolism. , 2011, Journal of vascular and interventional radiology : JVIR.

[18]  J. Kaufman,et al.  Guidelines for the use of retrievable and convertible vena cava filters: report from the Society of Interventional Radiology multidisciplinary consensus conference. , 2006, Journal of vascular and interventional radiology : JVIR.

[19]  J. Kaufman,et al.  Guidelines for the Use of Retrievable and Convertible Vena Cava Filters: Report from the Society of Interventional Radiology Multidisciplinary Consensus Conference , 2006, World Journal of Surgery.

[20]  S. W. Robertson,et al.  Bard Denali inferior vena cava filter fracture and embolization resulting in cardiac tamponade: a device failure analysis. , 2015, Journal of vascular and interventional radiology : JVIR.

[21]  J. Schmitt,et al.  Complicated inferior vena cava filter retrievals: associated factors identified at preretrieval CT. , 2013, Radiology.

[22]  Lain,et al.  A CLINICAL TRIAL OF VENA CAVAL FILTERS IN THE PREVENTION OF PULMONARY EMBOLISM IN PATIENTS WITH PROXIMAL DEEP-VEIN THROMBOSIS , 2000 .

[23]  P. Godeau [Consensus conference]. , 2000, La Revue de medecine interne.