Placement and Retrieval of Inferior Vena Cava Filters

Placement and Retrieval of Inferior Vena Cava Filters
Author: Kush R. Desai
Publisher: Springer Nature
Total Pages: 210
Release: 2020-07-30
Genre: Medical
ISBN: 303045150X

This book addresses placement and retrieval of inferior vena cava (IVC) filters. Until 2010, utilization of IVC filters had been increasing since their introduction in 1967. Studies in the early 2000’s, however, identified that prolonged caval interruption with IVC filters were fraught with complications including filter fracture, migration, and caval thrombosis. This subsequently led the FDA to issue an advisory recommending judicious placement and timely retrieval of IVC filters by treating physicians. This safety advisory ultimately created a heightened awareness by medical professionals and the general public regarding the negative consequences surrounding long-term caval filtration. Subsequently, IVC filter placements decreased nationally while retrievals conversely increased in the post-FDA advisory era. During this same time period, interest in complex IVC filter retrieval also increased as a method to manage patients identified to have or be at risk for complications secondary to prolonged filter implantation. Given these established trends and interest surrounding advanced techniques in IVC filter retrieval, this book addresses these topics in a reader-friendly, case-based format. Chapters focus particularly around the recognition and management of filter-related complications. Additionally, advanced techniques employed by experienced operators for complex filter retrieval are also discussed. For completeness, the book also includes a review of indications and appropriate methods for IVC filter placement. This book is unique in that, at present, descriptions of complications and advanced techniques utilized for complicated IVC filter removal consist mainly of case reports and case series scattered throughout the literature. This publication serves to compile these sources into a single comprehensive entity for physicians treating patients with IVC filters. Chapters are organized to begin with a few introductory paragraphs highlighting the relevant literature (and providing references for in-depth reading) followed by several cases demonstrating tips, tricks, and procedural pitfalls. When possible, each case will include a step-by-step description of the technique being described. This is an ideal guide for interventional radiologists, interventional cardiologists, and vascular surgeons that perform or are interested in performing filter retrieval beyond standard techniques.

Surgery of the Inferior Vena Cava

Surgery of the Inferior Vena Cava
Author: Daniel Azoulay
Publisher: Springer
Total Pages: 244
Release: 2017-04-10
Genre: Medical
ISBN: 3319255657

This book addresses an urgent need, offering an updated, detailed and multidisciplinary review of surgery of the inferior vena cava (IVC). Over the past two decades, tremendous advances have been made in this field and related specialties. Many journals and/or textbooks on different surgical or medical specialties have reported on individual aspects, so it is high time to gather all of them in a single resource. To date, surgery of the IVC remains a major challenge, not only in terms of technical difficulties, but also in terms of perioperative management. The book sheds new light on cutting-edge developments, including: Innovations in imaging; Neoadjuvant and adjuvant treatments for tumors of or involving the IVC; Intraoperative anesthetic management; and Technical and technological advances in surgery. As such, it will be of a great interest to surgeons (cardiac, vascular and digestive) and urologists, as well as radiologists and anesthesiologists.

Inferior Vena Cava Filters

Inferior Vena Cava Filters
Author: Ana Luisa Barajas
Publisher:
Total Pages: 90
Release: 2021
Genre:
ISBN:

Background: Retrievable inferior vena cava (IVC) filters were developed for the transient prevention of pulmonary embolisms. Despite indications for removal, many filters are unintentionally left in place indefinitely. Adverse events associated with chronic indwelling retrievable filters have generated increased interest in improving their retrieval rates. Objective: This DNP scholarly project aimed to determine if a collaborative IVC filter retrieval protocol developed by the researcher and adopted by the Interventional Radiology (IR) clinical team, increased filter retrieval rates and decreased loss to follow-up of patients who had undergone temporary IVC filter placement. Methods: Seven-step IVC filter retrieval protocol was created and implemented. Following a quasi-experimental comparative design the pilot-study prospectively included all consecutive adult patients who underwent insertion of a retrievable IVC filter for a period of four months. Data collected included patient demographics, filter outcomes, and documented follow-up. Same data variables were collected using a retrospective review of similar patients who had undergone retrievable IVC filters placement 24-months prior to initiation of the new protocol. Chi-square statistical analysis was performed for all variables. Results: Total of 101 IVC filters (97 retrievable, 4 permanent) were inserted during the 28-month pilot-study period. Of the 97 retrieval filters placed (85 retrospective, 12 prospective), the retrieval rates of eligible filters increased from 64.15% to 100% and patients lost to follow-up decreased from 35.85% to 0% following implementation of the new protocol (p= 0.3, both outcomes). However, there was a statistically significant positive correlation between IVC filter conversion to permanent status and malignancy (r(26) = 0.32; p

Essential Radiology Review

Essential Radiology Review
Author: Adam E. M. Eltorai
Publisher: Springer Nature
Total Pages: 545
Release: 2019-12-18
Genre: Medical
ISBN: 3030260445

The book is an on-the-spot reference for residents and medical students seeking diagnostic radiology fast facts. Its question-and-answer format makes it a perfect quick-reference for personal review and studying for board examinations and re-certification. Readers can read the text from cover to cover to gain a general foundation of knowledge that can be built upon through practice or can use choice chapters to review a specific subspecialty before starting a new rotation or joining a new service. With hundreds of high-yield questions and answer items, this resource addresses both general and subspecialty topics and provides accurate, on-the-spot answers. Sections are organized by subspecialty and body area, including chest, abdomen, and trauma, and chapters cover the anatomy, pathophysiology, differential diagnosis, hallmark signs, and image features of major diseases and conditions. Key example images and illustrations enhance the text throughout and provide an ideal, pocket-sized resource for residents and medical students.

Current Management of Venous Diseases

Current Management of Venous Diseases
Author: Cassius Iyad Ochoa Chaar
Publisher: Springer
Total Pages: 571
Release: 2017-12-09
Genre: Medical
ISBN: 3319652265

This text provides an overview of venous diseases and focuses on clinical evaluation and management. It is intended to guide the treating physician by summarizing the evidence, giving technical tips, and outlining algorithms for common conditions. A unique feature of this book is clinical pearls given by experts in the field that are highlighted in each chapter. The first section of the book describes the essential anatomy and physiology/pathophysiology. It also includes evaluation of common presentations of venous diseases such as extremity edema and lower extremity ulceration with a summary for work up that includes conditions that can mimic venous diseases. The organization of the book follows the basic pathophysiology of venous disorders with chapters addressing special conditions of common interest such as pelvic congestion syndrome, thoracic outlet syndrome, and May-Thurner syndrome. There is emphasis on novel treatment modalities and emerging technologies through dedicated chapters to anticoagulant agents, emerging modalities to treat superficial venous reflux and venous stent technology. Finally, this book is a melting pot for physicians who have shown dedication and passion to the care of patients with venous disease regardless of specialty and location.The authors are an international panel of vascular experts who trained in vascular surgery, interventional radiology, interventional cardiology, hematology, pulmonology and critical care medicine. Therefore, the book will be of great value to the physicians and trainees in those specialties and to any person interested in developing in depth knowledge of the management of venous diseases.

Atlas of Endovascular Venous Surgery E-Book

Atlas of Endovascular Venous Surgery E-Book
Author: Jose Almeida
Publisher: Elsevier Health Sciences
Total Pages: 768
Release: 2018-07-27
Genre: Medical
ISBN: 0323568521

Highly visual and packed with useful, practical information, Atlas of Endovascular Venous Surgery, 2nd Edition, provides real-world instruction on the evaluation, diagnostic imaging, and medical and endovascular surgical management of acute and chronic venous diseases. Dr. Jose Almeida, pioneering expert in the field and host of the annual International Vein Congress, along with other highly regarded practitioners, offers an authoritative understanding of what causes increased venous pressure and solutions for reducing venous hypertension. Detailed, full-color intraoperative illustrations capture key teaching moments, helping you better understand the nuances of surgery and improve your ability to perform cutting-edge procedures.

Towards Patient-Specific Modeling of Inferior Vena Cava Filter Performance

Towards Patient-Specific Modeling of Inferior Vena Cava Filter Performance
Author: Kenneth Aycock
Publisher:
Total Pages:
Release: 2016
Genre:
ISBN:

Inferior vena cava (IVC) filters have been used to mitigate pulmonary embolism (PE) in at-risk patients for nearly half a century. Despite years of innovation, IVC filter-related complications remain common, including caval perforation, filter embedment, filter fracture, filter migration, persistence or worsening of deep-vein thrombosis due to IVC thrombosis, and recurrence of PE. In this thesis, a computational workflow is developed and demonstrated for simulating IVC filter placement, hemodynamics, and embolus transport and capture in patient-specific models reconstructed from medical image data.Patient-specific IVC geometries are first segmented and reconstructed from clinical computed tomography data. Virtual IVC filter placement is then performed using nonlinear finite element analysis with vein-filter contact modeling and nonlinear constitutive models for the vein tissue and nitinol IVC filter. The blood flow and the transport and capture of emboli are simulated using a coupled computational fluid dynamics / six degree-of-freedom (CFD/6DoF) model that uses an immersed boundary method to resolve the blood flow around the emboli. The embolus-trapping performance of the filter is predicted by systematically varying embolus starting positions, embolus diameters, embolus densities, and IVC orientations in thousands of embolus transport simulations.Simulations reveal that patient-specific variations in the IVC cross-sectional shape cause a non-uniform distribution of veinfilter contact forces among the filter struts (range of 8-26 mN per strut). Patient-specific anatomical features also generate regions of locally high or low wall shear stress (WSS) and affect secondary flow features such as Dean vortices and flow recirculation regions. Non-Newtonian blood effects are found to be significant in the IVC (e.g., up to a 50% difference in WSS between results obtained using a non-Newtonian model compared with using the Newtonian approximation) due to the predominance of low shear rates. Embolus transport simulations predict that embolus trajectories and capture rates for a given filter are sensitive to the IVC morphology, the embolus-to-blood density ratio, and the direction of the gravitational force (i.e., patient orientation).With further development and validation, the computational workflow presented herein may be used to guide IVC filter design, to predict the in vivo performance of IVC filters, and to guide the selection and placement of IVC filters on a patient-specific basis. Simulations could also be used to improve preclinical testing standards such that benchtop experiments better mimic the in vivo environment and performance of IVC filters.

Management of Acute Pulmonary Embolism

Management of Acute Pulmonary Embolism
Author: Stavros V. Konstantinides
Publisher: Springer Science & Business Media
Total Pages: 273
Release: 2007-12-31
Genre: Medical
ISBN: 1597452874

This practical volume highlights traditional, novel, and evolving aspects of the diagnosis and treatment of pulmonary embolism (PE). The contributors comprise an international team of experts. Important aspects of diagnosis, risk stratification, and differential treatment of patients with PE are presented in a concise, yet comprehensive manner. Emphasis is placed on specific issues related to PE, including pregnancy, cancer, thrombophilia, and air travel.

Cancer-Associated Thrombosis

Cancer-Associated Thrombosis
Author: Alok A. Khorana
Publisher: CRC Press
Total Pages: 290
Release: 2007-09-26
Genre: Medical
ISBN: 1420048007

Showcasing the expertise of top-tier specialists who contributed to the newly released guidelines for the care of thrombosis in cancer patients, this exciting guide was written and edited by members of the American Society of Clinical Oncology panel, (ASCO), on the prevention and treatment of cancer-associated thrombosis, among others, and provides

Cardiovascular Surgery

Cardiovascular Surgery
Author: Rui Manuel de Sousa Sequeira Antunes de Almeida
Publisher: Springer
Total Pages: 495
Release: 2018-12-14
Genre: Medical
ISBN: 3319570846

This clinical casebook is comprised of surgical cases involving the most important cardiovascular diseases in a concise, easy-to-read format (5x8 in trim size, like other titles in this burgeoning, informal product line in the Springer clinical medicine program). Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as questions and answers (between 8 and 10) about relevant aspects related to the diagnosis and treatment of the addressed disease. The Q&A section will broaden discussion and increase the title's pedagogical value. The casebook features 40 surgical cases in the following thematic areas: Aortic Disease, Arrhythmias, Cardiac Tumors, Coronary Insufficiency, Congenital Heart Disease, Endovascular Therapies, Heart Failure, Heart Transplantation, Mechanical Circulatory Support, Pericardial Disease, Pulmonary Embolism and Valvular Heart Disease. This book will be prepared by the Brazilian Department for Academic Leagues of Cardiovascular Surgery, within the Brazilian Society of Cardiovascular Surgery (BSCVS). This department is the section within BSCVS that consists of the academic leagues of cardiovascular surgery from each university throughout the country. In Brazil, medical academic leagues are organizations that gathers students, interns and residents to discuss a certain topic and promote research and teaching-oriented extra-class activities, supervised by a group of professors. Thus trainees will have involvement in writing the chapters and the senior professor supervisors will edit and finalize the work. Basically, each chapter is written by an intern or resident and, ultimately, his/her supervisor. As the books volume editors, doctors Almeida and Jatene will have final responsibility for the cases and overall manuscript.