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Strut interlocking of Titanium Greenfield vena cava filters and its effect on clot capturing: Anin vitro study

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Abstract

Purpose

To determine the influence of filter leg-interlocking on filtering efficiency of titanium Greenfield inferior vena cava filters in anin vitro model.

Methods

Titanium Greenfield filters (TGF) were placed in an inferior vena cava (IVC) flow phantom with no interlocking legs, or with one or two pairs of legs interlocked. Clot emboli of varying sizes were introduced into the stream of flow, and the frequency of successful captures by the deformed filters was recorded.

Results

Interlocking filter legs diminished the filtering efficiency of the TGF by up to 80% with the flow phantom in a horizontal position; no such compromise existed when the phantom was in a vertical position.

Conclusion

When leg interlocking is verified radiographically, the filtering efficiency of the TGF is reduced, and placement of a second IVC filter may be indicated.

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References

  1. Kantor A, Glanz S, Gordon DH, Sclafani SJA (1987) Percutaneous insertion of the Kimray-Greenfield filter: Incidence of femoral vein thrombosis. AJR 149:1065–1066

    Google Scholar 

  2. Mewissen MW, Erickson SJ, Foley WD, Lipchick EO, Olson DL, McCann KM, Schreiber ER (1989) Thrombosis at venous insertion sites after inferior vena caval filter placement. Radiology 173:155–157

    Google Scholar 

  3. Teitelbaum GP, Jones DL, van Breda A, Matsumoto AH, Fellmeth BD, Chespak LW, Barth KH (1989) Vena caval filter splaying: Potential complication of use of the titanium Greenfield filter. Radiology 173:809–814

    Google Scholar 

  4. Greenfield LJ, Savin MA (1989) Comparison of titanium and stainless steel Greenfield vena caval filters. Surgery 106:820–828

    Google Scholar 

  5. Greenfield LJ, Cho KJ, Proctor M, Bonn J, Bookstein JJ, Castaneda-Zuniga WR, Cutler B, Ferris EJ, Keller F, McCowan T, Pais SO, Sobel M, Tisnado J, Waltman AC (1991) Results of a multicenter study of the modified hook-titanium Greenfield filter. J Vasc Surg 14:253–257

    Google Scholar 

  6. Greenfield LJ, Cho KJ, Tauscher JR (1990) Evolution of the hook design for fixation of the titanium Greenfield filter. J Vasc Surg 12:345–353

    Google Scholar 

  7. Ramchandani P, Koolpe HA, Zeit RM (1990) Splaying of titanium Greenfield inferior vena cava filter. AJR 155(5):1103–1104

    Google Scholar 

  8. Katsamouris AA, Waltman AC, Delichatsios MA, Athanasoulis CA (1988) Inferior vena cava filters: In vitro comparison of clot trapping and flow dynamics. Radiology 166:361–366

    Google Scholar 

  9. Greenfield LJ, Proctor MC (1992) Experimental embolic capture by asymmetric Greenfield filters. J Vasc Surg 16:436–444

    Google Scholar 

  10. Cho KJ, Williams DM, Marx MV, Andrews JC, Proctor MC, Greenfield LJ (1992) Leg asymmetry of the titanium Greenfield vena cava filter: Improvement with catheter manipulation (Abstract) SCVIR 4/92

  11. Miller CL, Wechsler RJ (1986) CT evaluation of Kimray-Greenfield filter complications. AJR 147:45–50

    Google Scholar 

  12. Dorfman GS (1990) Percutaneous inferior vena caval filters. Radiology 174(3 Pt 2):987–992

    Google Scholar 

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Korbin, C.D., Van Allan, R.J., Andrews, R.T. et al. Strut interlocking of Titanium Greenfield vena cava filters and its effect on clot capturing: Anin vitro study. Cardiovasc Intervent Radiol 17, 204–206 (1994). https://doi.org/10.1007/BF00571535

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  • DOI: https://doi.org/10.1007/BF00571535

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