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The Value of Rotational Venography Versus Anterior–Posterior Venography in 100 Consecutive IVC Filter Retrievals
- Source :
- CardioVascular and Interventional Radiology. 39:394-399
- Publication Year :
- 2015
- Publisher :
- Springer Science and Business Media LLC, 2015.
-
Abstract
- Accurately detecting inferior vena cava (IVC) filter complications is important for safe and successful retrieval as tip-embedded filters require removal with non-standard techniques. Venography prior to IVC filter retrieval has traditionally used a single anterior–posterior (AP) projection. This study compares the utility of rotational venography to AP venography prior to IVC filter removal. The rotational venograms from 100 consecutive IVC filter retrievals over a 35-month period were evaluated retrospectively. The AP view of the rotational venogram was examined separately from the full series by a radiologist blinded to alternative imaging and operative findings. The venograms were evaluated for tip embedding, filter fracture, filter thrombus, and IVC thrombus. Statistical analysis was performed. Using operative findings and peri-procedural imaging as the reference standard, tip embedding occurred in 59 of the 100 filters (59 %). AP venography was used to correctly identify 31 tip-embedded filters (53 % sensitivity) with two false positives (95 % specificity) for an accuracy of 70 %. Rotational venography was used to correctly identify 58 tip-embedded filters (98 % sensitivity) with one false positive (98 % specificity) for an accuracy of 98 %. A significant difference was found in the sensitivities of the two diagnostic approaches (P
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
Ultrasound
Ivc filter
Venography
030204 cardiovascular system & hematology
medicine.disease
Inferior vena cava
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
medicine.vein
Filter (video)
cardiovascular system
medicine
False positive paradox
Radiology, Nuclear Medicine and imaging
Radiology
Anterior posterior
Thrombus
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 1432086X and 01741551
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- CardioVascular and Interventional Radiology
- Accession number :
- edsair.doi...........d2f065c03f9341cf1f4e4a97d8dd80da