COOK Medical I-IGTCFS-426-08 Instructions For Use Manual page 13

For all retrievable IVC filters, retrieval becomes more
challenging with time, and this is commonly due to
encapsulation of the filter legs or hook (in a tilted
filter) by tissue ingrowth.
The following references include descriptions of
alternative techniques for filter retrieval. The safety
or effectiveness of these alternative retrieval
techniques has not been established. Use of these
techniques varies according to physician experience,
patient anatomy, and filter position.
• Al-Hakim et al. The hangman technique: a modified
loop snare technique for the retrieval of inferior
vena cava filters with embedded hooks. J Vasc
Interv Radiol. 2015; 26(1):107-10.
• Cho et al. Failed inferior vena cava filter retrieval
by conventional method: Analysis of its causes and
retrieval of it by modified double-loop technique.
Phlebology. 2015; 30(8):549-56.
• Foley et al. A "fall-back" technique for difficult
inferior vena cava filter retrieval. J Vasc Surg. 2012;
56(6):1629-33.
• Kuo et al. Excimer laser-assisted removal of
embedded inferior vena cava filters: a single-center
prospective study. Circ Cardiovasc Interv. 2013;
6(5):560-6.
• Stavropoulos et al. Retrieval of Tip-embedded
Inferior Vena Cava Filters by Using the
Endobronchial Forceps Technique: Experience at a
Single Institution. Radiology. 2015; 275(3):900-7.
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