Fig. 2
From: Spanish multicenter real – life registry of retrievable vena cava filters (REFiVeC)
Example of IVCF retrieval with difficulty. A 61-year-old female patient diagnosed with multiple myeloma. Six years ago she had DVT in her left lower limb. She was treated with unfractionated heparin and had an upper-GI bleed, and anticoagulants became contraindicated. An Optease filter was implanted infrarenal. a. abdominal x-ray showed the Optease filter in a proper position. b. Abdominal CT with sagittal MPR showed the filter slightly tilted on the vertical axis. c. Femoral access with a 16 Fr sheath and a 25 mm snare (Amplatz GooseNet snare). After several attempts, it was impossible to recover it. d. Jugular access was made with a 12 F sheath and a guide was passed through the upper vertex of the filter and with several movements from both accesses, the IVCF was introduced into the sheath and the filter could be recovered. e. Cavography after filter retrieval (shows endothelial alteration). f. The filter recovered with endothelial remains