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Some Essential Information About An IVC Filter

By Carla Holland


The IVC filter is a device which is implanted into the body to reduce the incidence of arterial blockage caused by a blood clot. This is placed into a large vein called posterior vena cava using a catheter. The person may be discharged from the hospital right away after the procedure. Such may be performed by a vascular surgeon or even an interventional radiologist.

Its fashioned from very fine metals wires. The mesh-like structure makes it look like a tiny umbrella. This design enables it to effectively catch any clot coming from the lower portions of your body and keep it from getting to your heart or lungs. Some models may be left in the vein permanently. But some of them may be removed after a long time of being implanted in the inferior vena cava.

Reasons why a person has to be implanted with this device are varied. One is when the intake of anticoagulants fail to deliver satisfactory results. Anticoagulants are drugs taken to prevent blood from clotting or even break down present clots. Another reason is when the person isn't allowed to take anticoagulants due to certain medical conditions.

Anticoagulants may have trouble dissolving large clots. Individuals who are detected with such are usually advised to get the device implanted in them. A person who has recently undergone an injury like a head trauma or fracture in the pelvis may require it. Those who are susceptible to having pulmonary embolism or have had deep vein thrombosis before may also be advised by a doctor to get the device.

It's important that blood clot is kept from getting into the lungs. When pulmonary embolism takes place, the blood vessels in the lungs get blocked. The person suffering from it may experience chest pain, troubled breathing and fainting. The skin color may appear bluish too because of the lack of oxygen in the blood. The condition may even cause death.

It's through some of the body's largest veins that the device is taken inside the inferior vena cava. They include the femoral vein, jugular vein and basilic vein. A catheter, a small tube out of rubber, is inserted to any one of these. The device's placement is guided by an x-ray with the help of a contrast dye or with the use of a Doppler ultrasound.

Before, such procedure was done via surgery. However, design changes allowed vascular surgeons or interventional radiologists to put the device into place using only a catheter. Local anesthetic is often used and the individual receiving the implant may be given anti-anxiety drugs. But there are some instances which require the use of general anesthesia.

As mentioned earlier, an IVC filter may permanent or temporary, depending on the design. What makes a temporary model different from a permanent one is the presence of a small hook or knob on one end. Likewise, it also has a collapsible structure. This allows the device to be pulled out safely of the inferior vena cava through a catheter. However, it may also be left in place for good, just like a permanent model.




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