IVC Filter Placement How I Do It
Pre-op <ul><li>1. Indication </li></ul><ul><ul><li>PE when anticoags are contraindicated </li></ul></ul><ul><ul><li>Failur...
Procedure <ul><li>2. Access </li></ul><ul><ul><li>Prep, drape, local  </li></ul></ul><ul><ul><li>Nick skin </li></ul></ul>...
Procedure <ul><li>3. Venogram 15/30 </li></ul><ul><li>4. Separate dilator and introducer  </li></ul><ul><ul><li>Remove gui...
Procedure
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G2 filter placement

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  • Positions filter tip 1 cm below renal v
  • G2 filter placement

    1. 1. IVC Filter Placement How I Do It
    2. 2. Pre-op <ul><li>1. Indication </li></ul><ul><ul><li>PE when anticoags are contraindicated </li></ul></ul><ul><ul><li>Failure of anticoags for thromboemboloic dz </li></ul></ul><ul><ul><li>Chronic, recurrent PE where anticoags failed or contraindicated </li></ul></ul><ul><ul><li>Contraindications </li></ul></ul><ul><ul><ul><li>IVC diameter > 28mm (G2) </li></ul></ul></ul><ul><ul><ul><li>IVC diameter > 30mm (optease) </li></ul></ul></ul>
    3. 3. Procedure <ul><li>2. Access </li></ul><ul><ul><li>Prep, drape, local </li></ul></ul><ul><ul><li>Nick skin </li></ul></ul><ul><ul><li>Palpate femoral pulse </li></ul></ul><ul><ul><li>Micropuncture medial to pulse </li></ul></ul><ul><ul><li>Insert J wire into IVC </li></ul></ul><ul><ul><li>Remove needle over J wire </li></ul></ul><ul><ul><li>Advance introducer sheath with dilator over guidewire </li></ul></ul>
    4. 4. Procedure <ul><li>3. Venogram 15/30 </li></ul><ul><li>4. Separate dilator and introducer </li></ul><ul><ul><li>Remove guidewire and dilator </li></ul></ul><ul><li>5. Remove safety cap. Advance delivery device through introducer sheath until hubs snap together </li></ul><ul><li>6. Place below renal v </li></ul><ul><li>7. Deploy filter </li></ul><ul><li>8. Remove delivery device </li></ul><ul><li>9. Venogram to confirm placement </li></ul><ul><li>10. Remove introducer sheath and hold pressure </li></ul>
    5. 5. Procedure
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