Treatment

Inferior Vena Cava (IVC) Filter Placement/Removal

Overview

The Inferior Vena Cava (IVC) filter is a small metal device placed inside the vena cava which is a large vein that carries blood from the lower body to the heart. It is designed to catch blood clots before they reach the lungs preventing pulmonary embolism (PE).

• 1. The IVC filter placement procedure involves inserting the filter into the vein.
• 2. The IVC filter removal procedure is done when the filter is no longer needed.

This treatment is commonly used for patients who cannot take blood thinners or have a high risk of developing blood clots.

Why Inferior Vena Cava (IVC) Filter Placement/Removal Required?

An IVC filter is recommended for patients with deep vein thrombosis (DVT) or a high risk of pulmonary embolism especially when:

• Blood thinners are not safe: Some patients cannot take anticoagulants due to bleeding risks.
• Recurrent blood clots: Even with medication clots may keep forming.
• High risk conditions: After surgery trauma or in cancer patients blood clot risks are higher.
• Prevention in immobile patients: Those who cannot move for long periods may need an IVC filter.

IVC filter removal is required when:

• The risk of blood clots has reduced.
• The filter has been in place for too long and needs removal to prevent complications.
• A retrievable filter is no longer necessary.

Key Advantages of Inferior Vena Cava (IVC) Filter Placement/Removal

• Prevents life threatening blood clots: The vena cava filter catches clots before they reach the lungs.
• Alternative to blood thinners: Safe for people who cannot take anticoagulants.
• Minimally invasive: The IVC filtration process is quick and done with a catheter.
• Easily removable: If no longer needed IVC filter removal is a simple procedure.
• Immediate protection: Works faster than medications in stopping clots from traveling.

How Should You Prepare Yourself Before Taking Inferior Vena Cava (IVC) Filter Placement/Removal Treatment?

• Inform your doctor about any allergies or medications you are taking.
• You may need to stop certain blood thinners before the procedure.
• Avoid eating or drinking for a few hours before the IVC filter placement surgery in India.
• Wear loose comfortable clothing on the day of the procedure.
• Arrange for someone to drive you home after the procedure.

How Inferior Vena Cava (IVC) Filter Placement/Removal is Performed?

1. IVC Filter Placement Procedure

• A catheter is inserted into a vein in the groin or neck.
• The IVC filter is guided into the correct position inside the inferior vena cava.
• Once placed correctly the greenfield filter placement is expanded and locked in place.
• The catheter is removed and the procedure is complete.

2. IVC Filter Removal Procedure

• A small catheter is inserted into the vein.
• A special tool is used to grab and collapse the IVC filter.
• The IVC filter is carefully pulled out.
• The vena cava filter removal procedure is quick usually taking 30 minutes.

What You Can Expect?

1. Before the Procedure

• The doctor will explain the process and check your medical history.
• You will be given mild sedation to keep you comfortable.

2. During the Procedure

• A small incision is made to insert the IVC catheter.
• The placement of the IVC filter or removal is done using imaging guidance.
• The whole process takes around 30 to 60 minutes.

3. After the Procedure

• You will be monitored for a short period before being discharged.
• Some mild bruising or soreness may occur at the insertion site.
• Normal activities can usually be resumed within 24 hours.

Risks and Potential Complications

While the procedure is safe, there are some risks such as:

• Bleeding or infection at the catheter site.
• Migration of the IVC filter to another part of the vein.
• Breakage or damage of the IVC filter, leading to complications.
• Difficulty in removing the filter if it has been in place for too long.
• Rare cases of vein blockage due to clot formation around the filter.

Results/Outcomes

• The IVC filter effectively prevents blood clots from reaching the lungs.
• Patients who receive timely IVC filter placement reduce the risk of pulmonary embolism significantly.
• IVC filter removal is successful in most cases with minimal complications.
• The procedure has a high success rate and improves patient safety.