Semin intervent Radiol 2015; 32(04): 379-383
DOI: 10.1055/s-0035-1564812
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Retrievable Filter Update: The Denali Vena Cava Filter

David Hahn
1   Department of Radiology, Section of Interventional Radiology, NorthShore University HealthSystem, Evanston, Illinois
› Author Affiliations
Further Information

Publication History

Publication Date:
10 November 2015 (online)

Abstract

Over the past decade, there has been a gradual evolution of the retrievable inferior vena cava (IVC) filter, as the indications for caval filtration have expanded since the first such filters came into use. However, the particular design of retrievable or optional filters has introduced a subset of both symptomatic and asymptomatic device failures that have prompted a reassessment in the approach to patient selection as well as a new lexicon of technical considerations when considering retrieval. The Denali Vena Cava Filter (Bard Peripheral Vascular, Inc., Tempe, AZ) represents one of the latest filters to come to market that specifically addresses the various issues of its predecessors. While the body of published experience with this filter is still relatively sparse, the incidence of filter tilt, strut perforation, strut fracture, and filter migration appears acceptably low and the filters remain relatively easy to retrieve even after long dwell times.

 
  • References

  • 1 Bard Denali Vena Cava Filter Instructions for Use [package insert] Tempe, AZ: Bard Peripheral Vascular; Revision 4, April, 2013
  • 2 U.S. Food and Drug Administration. Denali Filter System 510(k) Summary, 21 CFR 807.92. Received February 13, 2013. Approved May 15, 2013
  • 3 Stavropoulos SW, Sing RF, Elmasri F , et al; DENALI Trial Investigators. The DENALI Trial: an interim analysis of a prospective, multicenter study of the Denali retrievable inferior vena cava filter. J Vasc Interv Radiol 2014; 25 (10) 1497-1505 , 1505.e1
  • 4 Stavropoulos SW, Solomon JA, Trerotola SO. Wall-embedded recovery inferior vena cava filters: imaging features and technique for removal. J Vasc Interv Radiol 2006; 17 (2, Pt 1): 379-382
  • 5 Kwok PC, Wong WK, Siu KW, Lai AK, Chan SC. Difficult retrieval of a retrievable inferior vena cava filter placed in an inverted orientation. J Vasc Interv Radiol 2006; 17 (1) 153-155
  • 6 Oh JC, Trerotola SO, Dagli M , et al. Removal of retrievable inferior vena cava filters with computed tomography findings indicating tenting or penetration of the inferior vena cava wall. J Vasc Interv Radiol 2011; 22 (1) 70-74
  • 7 Burke CT, Dixon RG, Stavas JM. Use of rigid bronchoscopic forceps in the difficult retrieval of the Günther Tulip inferior vena cava filter. J Vasc Interv Radiol 2007; 18 (10) 1319-1323
  • 8 Stavropoulos SW, Dixon RG, Burke CT , et al. Embedded inferior vena cava filter removal: use of endobronchial forceps. J Vasc Interv Radiol 2008; 19 (9) 1297-1301
  • 9 Rubenstein L, Chun AK, Chew M, Binkert CA. Loop-snare technique for difficult inferior vena cava filter retrievals. J Vasc Interv Radiol 2007; 18 (10) 1315-1318
  • 10 Kuo WT, Bostaph AS, Loh CT, Frisoli JK, Kee ST. Retrieval of trapped Günther Tulip inferior vena cava filters: snare-over-guide wire loop technique. J Vasc Interv Radiol 2006; 17 (11, Pt 1): 1845-1849
  • 11 Al-Hakim R, Kee ST, Olinger K, Lee EW, Moriarty JM, McWilliams JP. Inferior vena cava filter retrieval: effectiveness and complications of routine and advanced techniques. J Vasc Interv Radiol 2014; 25 (6) 933-939 , quiz 940
  • 12 Yan Y, Galfione M, William Stavropoulos S, Trerotola SO. Forceps retrieval of a tip-embedded superior vena cava filter. J Vasc Interv Radiol 2013; 24 (4) 592-595
  • 13 Van Ha TG, Vinokur O, Lorenz J , et al. Techniques used for difficult retrievals of the Günther Tulip inferior vena cava filter: experience in 32 patients. J Vasc Interv Radiol 2009; 20 (1) 92-99
  • 14 Lynch FC. Balloon-assisted removal of tilted inferior vena cava filters with embedded tips. J Vasc Interv Radiol 2009; 20 (9) 1210-1214
  • 15 Kuo WT, Odegaard JI, Louie JD , et al. Photothermal ablation with the excimer laser sheath technique for embedded inferior vena cava filter removal: initial results from a prospective study. J Vasc Interv Radiol 2011; 22 (6) 813-823
  • 16 Desai TR, Morcos OC, Lind BB , et al. Complications of indwelling retrievable versus permanent IVC filters. J Vasc Surg Venous Lymphat Disord 2014; 2 (2) 166-173
  • 17 Angel LF, Tapson V, Galgon RE, Restrepo MI, Kaufman J. Systematic review of the use of retrievable inferior vena cava filters. J Vasc Interv Radiol 2011; 22 (11) 1522-1530.e3
  • 18 Arabi M, Willatt JM, Shields JJ, Cho KJ, Cwikiel WB. Retrievability of optional inferior vena cava filters with caudal migration and caval penetration: report of three cases. J Vasc Interv Radiol 2010; 21 (6) 923-926
  • 19 Ray Jr CE, Mitchell E, Zipser S, Kao EY, Brown CF, Moneta GL. Outcomes with retrievable inferior vena cava filters: a multicenter study. J Vasc Interv Radiol 2006; 17 (10) 1595-1604
  • 20 Kesselman A, Silk MT, Gallo J , et al. Tilt, perforation and retrieval rate of Bard Denali versus Cook Celect IVC filters. J Vasc Interv Radiol 2015; 26 (2, Suppl): S222
  • 21 Silk MT, Chaim J, Wimmer T , et al. Assessment of vena caval perforation by the option retrievable filter: CT imaging analysis of 276 filters. J Vasc Interv Radiol 2015; 26 (2, Suppl): S222
  • 22 Yoon JP, Valenti DA, Cabrera T , et al. Changes in tilt angle, position and penetration of inferior vena cava (IVC) wall of ALN, Bard, Cook and Cordis retrievable IVC filters. J Vasc Interv Radiol 2011; 22 (3, Suppl): S144
  • 23 Fraine PD, Bessissow A, Yoon JP , et al. Positional changes of retrievable inferior vena cava (IVC) filters at the time of removal: a comparative study of different filter types. J Vasc Interv Radiol 2014; 25 (3, Suppl): S136-S137
  • 24 Andreoli JM, Lewandowski RJ, Vogelzang RL, Ryu RK. Comparison of complication rates associated with permanent and retrievable inferior vena cava filters: a review of the MAUDE database. J Vasc Interv Radiol 2014; 25 (8) 1181-1185