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Comparison of Retrievability and Indwelling Complications of Celect and Denali Infrarenal Vena Cava Filters: A Randomized, Controlled Trial

Authors
 Kichang Han  ;  Man-Deuk Kim  ;  Gyoung Min Kim  ;  Joon Ho Kwon  ;  Junhyung Lee  ;  Jong Yun Won  ;  Sungmo Moon  ;  Hyeongsu An 
Citation
 CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.44(10) : 1536-1542, 2021-10 
Journal Title
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
ISSN
 0174-1551 
Issue Date
2021-10
MeSH
Aged ; Device Removal ; Humans ; Male ; Middle Aged ; Prospective Studies ; Prosthesis Design ; Pulmonary Embolism* ; Retrospective Studies ; Treatment Outcome ; Vena Cava Filters* / adverse effects ; Vena Cava, Inferior / diagnostic imaging
Keywords
Deep venous thrombosis ; Filter ; Inferior vena cava ; Pulmonary embolism ; Retrieval
Abstract
Purpose: To compare the Celect and Denali filters in terms of complex filter retrieval and indwelling complications after a 2-month indwelling time.

Materials and methods: In this prospective, randomized trial, 153 subjects were assessed for eligibility between May 2016 and July 2018. A total of 136 participants were randomly assigned to receive either Celect (n = 68) or Denali (n = 68) filter placement in the infrarenal inferior vena cava. Tilt angles at placement and retrieval and rates of overall filter retrieval, indwelling complication, and complex retrieval were compared.

Results: Of 136 participants (mean age, 62 ± 12.8 years, 55 male), 24 (17.6%) were lost to follow-up. The mean indwelling time of filter was 60.4 ± 7 days and there was no significant difference in the baseline characteristics between the two groups. Filter retrieval was successful in all participants (112/112, 100%). Significantly higher rates of filter tilt > 15° (n = 8) and strut penetration (n = 14) were found with the Celect filter than with the Denali filter (1 significant tilt and 1 penetration) (P = 0.033 and 0.001, respectively). No filter fractures were observed and there was no significant difference in tip embedment, filter fracture, filter migration, or mean fluoroscopy times. There were 3 cases of complex retrieval (1 for Denali vs. 2 for Celect, P = 0.500), for which the loop-snare technique was used.

Conclusion: Denali filters demonstrated significantly lower rates of tilt angle > 15° and strut penetration. However, there was no significant difference in the complex filter retrieval rate between the Celect and Denali filters.
Full Text
https://link.springer.com/article/10.1007%2Fs00270-021-02928-9
DOI
10.1007/s00270-021-02928-9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Joon Ho(권준호) ORCID logo https://orcid.org/0000-0002-6178-7252
Kim, Gyoung Min(김경민) ORCID logo https://orcid.org/0000-0001-6768-4396
Kim, Man Deuk(김만득) ORCID logo https://orcid.org/0000-0002-3575-5847
Moon, Sungmo(문성모)
Won, Jong Yun(원종윤) ORCID logo https://orcid.org/0000-0002-8237-5628
Lee, Junhyung(이준형) ORCID logo https://orcid.org/0000-0002-1942-5485
Han, Ki Chang(한기창) ORCID logo https://orcid.org/0000-0002-9701-9757
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186858
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