Laparoscopic demonstration of vena cava wall penetration by inferior vena cava filters in an ovine model. 2011

Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
GITMI Group of Research in Minimally Invasive Techniques, University of Zaragoza, Zaragoza, Spain. intervencionismo@gmail.com

OBJECTIVE To verify the penetration of struts and hooks of two inferior vena cava (IVC) filters (Günther tulip retrievable filter [GTF] and Celect filter) through the vena cava wall and to assess local or systemic complications resulting from this penetration. METHODS Eight IVC filters were placed in the IVC of four ewes for 30 days (1 GTF and 1 Celect filter in each ewe). Angiographic and laparoscopic examinations of the animals were performed to demonstrate the penetration through the vena cava wall, and the filters were removed under laparoscopic control. Specimens were extracted for anatomicopathological and histologic examination. RESULTS Two-projection cavography showed a filter leg seemingly out of the vena cava in 19 of 32 legs (59.3%). Laparoscopy showed 7 real penetrating legs (5 Celect filters and 2 GTFs) out of the 14 legs that could be identified by laparoscopy owing to technique limitations. Neither laparoscopy nor necropsy showed any sign of wall hemorrhage or other injuries. Histologic examination showed intimal remodeling and slight thickening of adventitial tissue around filter legs. CONCLUSIONS GTFs and Celect filters can produce a real penetration 1 month after implantation. This penetration did not lead to any complications in the IVC or surrounding tissues and did not compromise the subject's health in any of the studied cases.

UI MeSH Term Description Entries
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D010690 Phlebography Radiographic visualization or recording of a vein after the injection of contrast medium. Venography,Phlebographies,Venographies
D011474 Prosthesis Design The plan and delineation of prostheses in general or a specific prosthesis. Design, Prosthesis,Designs, Prosthesis,Prosthesis Designs
D005260 Female Females
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012756 Sheep Any of the ruminant mammals with curved horns in the genus Ovis, family Bovidae. They possess lachrymal grooves and interdigital glands, which are absent in GOATS. Ovis,Sheep, Dall,Dall Sheep,Ovis dalli
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D014682 Vena Cava, Inferior The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs. Inferior Vena Cava,Inferior Vena Cavas,Vena Cavas, Inferior
D016306 Vena Cava Filters Mechanical devices inserted in the inferior vena cava that prevent the migration of blood clots from deep venous thrombosis of the leg. Inferior Vena Cava Filters,Umbrella Filters,Filter, Inferior Vena Cava,Filters, Inferior Vena Cava,Inferior Vena Cava Filter,Cava Filter, Vena,Cava Filters, Vena,Filter, Umbrella,Filter, Vena Cava,Filters, Umbrella,Filters, Vena Cava,Umbrella Filter,Vena Cava Filter
D057772 Vascular System Injuries Injuries to blood vessels caused by laceration, contusion, puncture, or crush and other types of injuries. Symptoms vary by site and mode of injuries and may include bleeding, bruising, swelling, pain, and numbness. It does not include injuries secondary to pathologic function or diseases such as ATHEROSCLEROSIS. Vascular Injuries,Injuries, Vascular,Injuries, Vascular System,Injury, Vascular,Injury, Vascular System,System Injuries, Vascular,System Injury, Vascular,Vascular Injury,Vascular System Injury

Related Publications

Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
January 2011, Journal of vascular and interventional radiology : JVIR,
Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
January 2024, Methodist DeBakey cardiovascular journal,
Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
August 2007, The Annals of thoracic surgery,
Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
April 2018, Journal of vascular and interventional radiology : JVIR,
Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
June 2013, JACC. Cardiovascular interventions,
Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
June 2004, Techniques in vascular and interventional radiology,
Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
February 2007, World journal of surgery,
Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
September 2006, Seminars in interventional radiology,
Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
October 2010, Annals of vascular surgery,
Alicia Laborda, and Fernando Lostalé, and José B Rodríguez, and Miguel Ángel Bielsa, and Miguel Ángel Martínez, and Carolina Serrano, and Rocío Fernández, and Miguel Ángel De Gregorio
November 2015, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne,
Copied contents to your clipboard!