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J Vasc Interv Radiol. 2003 Sep;14(9 Pt 1):1207-9.

Right atrial migration and percutaneous retrieval of a Günther Tulip inferior vena cava filter.

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Department of Diagnostic Radiology, Yale University, 333 Cedar Street, P.O. Box 208042, New Haven, Connecticut 06520-8042, USA.


This report describes a 67-year-old trauma victim in whom a retrievable Günther Tulip (Cook, Bloomington, IN) inferior vena cava filter was placed. The filter migrated to the right atrium immediately after placement. Initial attempts to retrieve the filter with Amplatz Goose Neck snares (Microvena, White Bear Lake, MN) were unsuccessful. A second attempt performed a week later with the addition of the new EnSnare (MDTech, Gainesville, FL) was successful. Possible causes of the migration are discussed and the difficulties encountered while removing this retrievable filter are described.

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