Northwest Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio; Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
J Vasc Surg Venous Lymphat Disord. 2017 Nov;5(6):800-804. doi: 10.1016/j.jvsv.2017.05.027. Epub 2017 Aug 18.
The purpose of this study was to compare the retrieval characteristics of the Option Elite (Argon Medical, Plano, Tex) and Denali (Bard, Tempe, Ariz) retrievable inferior vena cava filters (IVCFs), two filters that share a similar conical design.
A single-center, retrospective study reviewed all Option and Denali IVCF removals during a 36-month period. Attempted retrievals were classified as advanced if the routine "snare and sheath" technique was initially unsuccessful despite multiple attempts or an alternative endovascular maneuver or access site was used. Patient and filter characteristics were documented.
In our study, 63 Option and 45 Denali IVCFs were retrieved, with an average dwell time of 128.73 and 99.3 days, respectively. Significantly higher median fluoroscopy times were experienced in retrieving the Option filter compared with the Denali filter (12.18 vs 6.85 minutes; P = .046). Use of adjunctive techniques was also higher in comparing the Option filter with the Denali filter (19.0% vs 8.7%; P = .079). No significant difference was noted between these groups in regard to gender, age, or history of malignant disease.
Option IVCF retrieval procedures required significantly longer retrieval fluoroscopy time compared with Denali IVCFs. Although procedure time was not analyzed in this study, as a surrogate, the increased fluoroscopy time may also have an impact on procedural direct costs and throughput.
本研究旨在比较 Option Elite（Argon Medical，Plano，Tex）和 Denali（Bard，Tempe，Ariz）可回收下腔静脉滤器（IVCF）的检索特征，这两种滤器具有相似的锥形设计。
一项单中心回顾性研究在 36 个月期间回顾了所有 Option 和 Denali IVCF 取出。如果尝试了多次仍未成功采用常规的“圈套和护套”技术，或使用了替代的血管内操作或进入部位，则将尝试取出归类为高级。记录患者和滤器特征。
在我们的研究中，取出了 63 个 Option 和 45 个 Denali IVCF，平均留置时间分别为 128.73 和 99.3 天。与 Denali 滤器相比，取出 Option 滤器时的中位数透视时间明显更长（12.18 与 6.85 分钟；P=0.046）。与 Denali 滤器相比，使用辅助技术的情况也更高（19.0%比 8.7%；P=0.079）。在性别、年龄或恶性疾病史方面，两组之间没有显著差异。
与 Denali IVCF 相比，Option IVCF 取出程序需要明显更长的取出透视时间。虽然本研究未分析手术时间，但作为替代指标，透视时间的增加也可能对手术直接成本和吞吐量产生影响。
