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Fig. 9 | CVIR Endovascular

Fig. 9

From: Procedural complications of inferior vena cava filter retrieval, an illustrated review

Fig. 9

This patient had a pre-operative IVC filter (Argon Option Elite filter; Argon Medical Devices, Plano, TX) placed 3 months prior to attempted removal. Initial cavagram showed the tip to be embedded in the wall of the IVC at the junction of the left renal vein and IVC. Snaring was not possible, so the sling technique was employed. Three days later, the patient had persistent abdominal pain and underwent CT which showed a short segment renal artery occlusion, renal infarction and intramural hematoma of the IVC. Arterial injury after sling technique filter removal has not previously been described in the literature

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