Surgical vena cava filter retrieval in anaesthesiologist’s and surgeon’s views

Authors: M. Horáček 1,2;  R. Fiala 3
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice, v Motole, Praha 1;  Katedra anesteziologie a intenzivní medicíny, Institut postgraduálního vzdělávání ve zdravotnictví, Praha 2;  Klinika kardiovaskulární chirurgie, 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice v Motole, Praha 3
Published in: Anest. intenziv. Med., 32, 2021, č. 3, s. 168-171


Thromboembolic disease and pulmonary embolism are major causes of morbidity and mortality. Unprovoked deep vein thrombosis can signal a serious illness. When anticoagulant therapy is contraindicated, the placement of a caval filter may be appropriate. The number of implantations has been rising, although the contribution of filters to reducing mortality has not yet been clearly demonstrated, as filters can be associated with serious complications. This case report presents management of anaesthesia and technique of surgical extraction. It is always necessary to respect differences in the condition of patients, the indication for implantation, the type of filter and the place of its placement. It is necessary to ensure the safety of patients during the procedure with possible, sudden and large blood loss.


vena cava filter – Renal cancer – anaesthesia


1. Žáková D. Trombolytická léčba akutní submasivní plicní embolie. Interv Akut Kardiol 2005; 4(2): 115–118.

2. Trombózy a záněty žil. [on-line]. Dostupné z: onemocneni‑zil/ trombozy‑a- zanety‑zil/.

3. Gronka L, Poršová M, Kolombo I. Karcinom ledviny – současné trendy. Urolog. pro Praxi, 2008; 9(3): 120–127.

4. Png JC, Li MK. An unusual presentation of renal cell carcinoma with deep vein thrombosis of the calf. Ann Acad Med Singap. 1996 Jul; 25(4): 616–618.

5. Leiva O, Newcomb R, Connors JM, Al-Samkari H. Cancer and thrombosis: new insights to an old problem. Journal de Médecine Vasculaire 2020; 45(6, supplement): 6S8–6S16.

6. Kvasnička J. Dědičné trombofilie – doporučení k provádění genetických testů v klinické praxi. Čas. Lék. čes. 2010; 149(10): 424–427.

7. Young T, Sriram KB. Vena caval filters for the prevention of pulmonary embolism. Cochrane Database Syst Rev. 2020 Oct 8; 10: CD006212. doi: 10.1002/

8. Ionescu F, Anusim N, Ma E, Qu L, Blankenship LM, Stender M, et al. Inferior Vena Cava Filter Retrieval Trends: A Single-Center Experience. TH Open. 2021 Feb 10; 5(1): e73–e80. doi: 10.1055/s-0040-1722707.

9. Liu Y, Lu H, Bai H, Liu Q, Chen R. Effect of inferior vena cava filters on pulmonary embolism- related mortality and major complications: a systematic review and meta-analysis of randomized controlled trials. Journal of Vascular Surgery: Venous and Lymphatic Disorders 2021; 9(3): 792–800.e2.

10. Wong JKL, Tan M, Bakhshayesh P. A review of preclinical absorbable inferior vena cava filters. J Vasc Surg Venous Lymphat Disord. 2021 Mar; 9(2): 510–524.e4.

11. Iliescu B, Haskal ZJ. Advanced techniques for removal of retrievable inferior vena cava filters. Cardiovasc Intervent Radiol 2012; 35: 741–750.

12. Rana MA, Gloviczki P, Kalra M, Bjarnason H, Huang Y, Fleming MD. Open surgical removal of retained and dislodged inferior vena cava filters. Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2015; 3(2): 201–206. 11. 007.

13. Mandell MS, Katz JJ, Wachs M, Gill E, Kam I Circulatory Pathophysiology and Options in Hemodynamic Management During Adult Liver Transplantation. Liver Transplantation and Surgery. 1997; 3(4): 379–387.

14. Poliwoda S, Suthar R, Suraci N, Garcia P, Behrens V, Goldman H. Inferior vena cava filter removal – Hope for the best and prepare for the worst: An anesthesiology perspective. Ann Card Anaesth. Jul‑Sep 2019; 22(3): 337–339. doi: 10.4103/aca.ACA_159_18.

Anaesthesiology, Resuscitation and Inten Intensive Care Medicine

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