PMC6901735_01
(a) Inferior vena cavogram showing suspected transmural incorporation of
filter apex. (b) Right renal angiogram confirming close proximity of filter
apex to right renal artery. (c) Inferior displacement of the filter apex
away from the renal artery using endobronchial forceps from a femoral
approach. Jugular sheath is advanced to stabilize filter apex to be captured
and extracted superiorly by jugular forceps. Renal arteriogram does not show
intimal injury to right renal artery. (d) Inferior displacement of filter by
femoral forceps to decrease risk of renal artery injury during capture of
filter apex by jugular forceps.
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PMC6901735_01_10.1177_2048004019893513-fig1.jpg
fig1-2048004019893513
Argon Option Elite Filters (Argon Frisco, TX) with dwell times ranging from 8 to 36 months and imaging demonstrating dorsal transmural incorporation of the filter apex in proximity to the right renal artery (Figure 1(a)). A right renal artery angiogram was performed, demonstrating less than 2 mm distance from the filter apex to the renal artery lumen (Figure 1(b)). Via the jugular vein sheath, endobronchial forceps dissected free and grasped the filter apex (Figure 1(c)). The filter was captured and removed intact through the jugular sheath (Figure 1(d)).