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Question to my #VIrad colleagues on #FilterOUTfriday Recently placed 5 mo filter: How many old college tries before bringing out the forceps ? 🤔 #VIrad

14,935 views • 2 years ago •via X (Twitter)

10 Comments

Stephen M. Bracewell's profile picture
Stephen M. Bracewell2 years ago

So true however some can’t handle under sedation. Happened to me last week- exchange for bigger sheath and do hangman which is painless

Darren Klass's profile picture
Darren Klass2 years ago

I don’t use any “IVCF retrieval sets, I think they all suck. I only put in option elites and so I start with an 8fr sheath ANSL1 a 7fr ensnare through an angled coronary guide (AR3) if that doesn’t work I’ll upsize to 12fr and try lasso before forceps. Only needed forceps x1

Keith Pereira MD, #VIrad's profile picture
Keith Pereira MD, #VIrad2 years ago

Agree! Not many good retrieval kits! Off the shelf stuff works very well....i like your toolkit Darren!

Peder E. Horner, MD Interventional Physician's profile picture
Peder E. Horner, MD Interventional Physician2 years ago

That's an Argon Option Elite, but the filter at the end of the video is a Cook Celect.

Keith Pereira MD, #VIrad's profile picture
Keith Pereira MD, #VIrad2 years ago

For demonstration purposes only 😂

Prof. Warren Clements's profile picture
Prof. Warren Clements2 years ago

Nice work Keith. I use the 11 Fr Cook GT kit (gooseneck snare). If it's not out in 60 seconds, I do a "low profile" hangman snare through the existing kit. This removes 99.9% of filters, costs next to nothing, and takes about 5-10 mins

Keith Pereira MD, #VIrad's profile picture
Keith Pereira MD, #VIrad2 years ago

I love your step wise approach ! Thanks for sharing that article. You are a mean publishing machine!

Harris Chengazi's profile picture
Harris Chengazi2 years ago

Forceps FTW! If I have imaging showing the filter isn’t tipped and hook should be accessible might keep trying just as a point of pride 😅. But in reality very comfortable with forceps now so low hesitation. Although beware the RA 🫣

Keith Pereira MD, #VIrad's profile picture
Keith Pereira MD, #VIrad2 years ago

💯 As i told the medical student scrubbed into the case..Its a tool that's safe in the right hands!

Shashi Murthy's profile picture
Shashi Murthy2 years ago

I find myself switching to forceps sooner and sooner these days

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