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Classification System for Inferior Vena Cava (IVC) Appearance Following Percutaneous IVC Filter Retrieval.
- Source :
- CardioVascular & Interventional Radiology; Aug2022, Vol. 45 Issue 8, p1064-1073, 10p
- Publication Year :
- 2022
-
Abstract
- Objective: There is no classification system for describing inferior vena cava (IVC) injuries. The objective of this study was to develop a standardized grading system for venographic appearance of the IVC following percutaneous IVC filter retrieval. Methods: A classification system for the appearance of the IVC on cavograms following percutaneous IVC filter removal was developed consisting of two grading elements; luminal characteristics and extravasation. Luminal narrowing from 0% up to 50% from any cause is grade 1; narrowing between 50 and 99% is grade 2; occlusion is grade 3; and avulsion is grade 4. Absence of extravasation is grade A, contained extravasation is grade B, and free extravasation is grade C. This system was then applied retrospectively to pre- and post-IVC filter retrieval cavograms performed at a single institution from October 2004 through February 2019. Results: 546 retrieval attempts were identified with 509 (93.2%) filters successfully retrieved. 449 cases (88.2%) had both pre-retrieval and post-retrieval imaging appropriate for application of the proposed classification system. Inter-rater reliability was 0.972 for luminal characteristics, 0.967 for extravasation, and 0.969 overall. Consensus grading demonstrated a distribution of 97.3% grade 1, 1.3% grade 2, 1.3% grade 3, and 0.0% grade 4 for post-retrieval luminal characteristics. For extravasation classification, 96.4% of the cases were classified as grade A, 2.7% grade B, and 0.9% grade C. Conclusion: A classification system was developed for describing IVC appearance after IVC filter retrieval, and retrospectively validated using a single center dataset. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 01741551
- Volume :
- 45
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- CardioVascular & Interventional Radiology
- Publication Type :
- Academic Journal
- Accession number :
- 158137720
- Full Text :
- https://doi.org/10.1007/s00270-022-03189-w