Evidence map›Paper›PMID 37950835›Full record

ArticleCVIR endovascular2023

Predictors of endobronchial forceps utilization for inferior vena cava filter retrieval: when snare retrieval fails.

Richard D Kang, Philip Schuchardt, Jonathan Charles, Premsai Kumar, Elena Drews, Stephanie Kazi, Andres DePalma, Adam Fang, Aislynn Raymond, Cliff Davis and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CVIR endovascular, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Richard D KangUniversity of South Florida, Morsani College of Medicine, Tampa, FL, USA.
Philip SchuchardtDepartment of Radiology, University of South Florida Health, Tampa General Hospital, Tampa, FL, USA.
Jonathan CharlesUniversity of South Florida, Morsani College of Medicine, Tampa, FL, USA.
Premsai KumarDepartment of Radiology, University of South Florida Health, Tampa General Hospital, Tampa, FL, USA.
Elena DrewsDepartment of Radiology and Image Guided Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
Stephanie KaziDepartment of Radiology and Image Guided Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
Andres DePalmaDepartment of Radiology and Image Guided Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
Adam FangDivision of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Aislynn RaymondDivision of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Cliff DavisDepartment of Radiology, University of South Florida Health, Tampa General Hospital, Tampa, FL, USA.
Kamal MassisDepartment of Radiology, University of South Florida Health, Tampa General Hospital, Tampa, FL, USA.
Glenn HootsDepartment of Radiology, University of South Florida Health, Tampa General Hospital, Tampa, FL, USA.
Rahul MhaskarDepartment of Radiology, University of South Florida Health, Tampa General Hospital, Tampa, FL, USA.
Nariman NezamiDivision of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Jamil ShaikhDepartment of Radiology, University of South Florida Health, Tampa General Hospital, Tampa, FL, USA. Jshaikh1@usf.edu.ORCID http://orcid.org/0000-0003-0752-5283
University of South Florida · USEmory University · USUniversity of Maryland, Baltimore · USTampa General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndobronchial forceps are commonly used for complex IVC filter removal and after initial attempts at IVC filter retrieval with a snare have failed. Currently, there are no clear guidelines to help distinguish cases where primary removal should be attempted with standard snare technique or whether attempts at removal should directly be started with forceps. This study is aimed to identify clinical and imaging predictors of snare failure which necessitate conversion to endobronchial forceps.

methodsRetrospective analysis of 543 patients who underwent IVC filter retrievals were performed at three large quaternary care centers from Jan 2015 to Jan 2022. Patient demographics and IVC filter characteristics on cross-sectional images (degree of tilt, hook embedment, and strut penetration, etc.) were reviewed. Binary multivariate logistic regression was used to identify predictors of IVC filter retrieval where snare retrieval would fail.

resultsThirty seven percent of the patients (n = 203) necessitated utilization of endobronchial forceps. IVC filter hook embedment (OR:4.55; 95%CI: 1.74-11.87; p = 0.002) and strut penetration (OR: 56.46; 95% CI 20.2-157.7; p = 0.001) were predictors of snare failure. In contrast, total dwell time, BMI, and degree of filter tilt were not associated with snare failure. Intraprocedural conversion from snare to endobronchial forceps was significantly associated with increased contrast volume, radiation dose, and total procedure times (p < 0.05).

conclusionIVC filter hook embedment and strut penetration were predictors of snare retrieval failure. Intraprocedural conversion from snare to endobronchial forceps increased contrast volume, radiation dose, and total procedure time. When either hook embedment or strut penetration is present on pre-procedural cross-sectional images, IVC filter retrieval should be initiated using endobronchial forceps. LEVEL OF EVIDENCE: Level 3, large multicenter retrospective cohort.

Indexed as

Endobronchial forcepsHook embedmentInferior vena cava filter retrievalSnare failureStrut penetration

Identifiers

PMID37950835
PMCPMC10640549
OpenAlexW4388591625

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.