Inferior Vena Cava Filter Placement Periprocedural Care

Updated: Feb 24, 2017
  • Author: Sapna Puppala, MBBS, MRCS, MRCS(Edin), FRCS(Edin), FRCR, CBCCT, EBIR; Chief Editor: Justin A Siegal, MD  more...
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Periprocedural Care

Equipment

Equipment used in placing an inferior vena cava (IVC) filter includes the following:

  • Ultrasound machine with linear array probe
  • Fluoroscopy
  • Chlorhexidine or povidone-iodine solution for skin disinfection
  • Heparinized saline (1000 IU heparin in 1000 mL of 0.9% saline)
  • Basic angiography set
  • Catheter (a catheter with radiopaque calibration markers can be helpful to measure caval diameter)
  • Guide wire, 0.035 in.
  • Filter kit (this article describes the insertion of a Cook Gunther Tulip or Celect potentially retrievable filter via jugular or femoral approaches)
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Patient Preparation

Anesthesia

Local anesthesia with approximately 5 mL of 1% lidocaine may be administered via infiltration before venipuncture. (See Local Anesthetic Agents, Infiltrative Administration.) Procedural sedation is optional and may be considered, depending on the patient and on local practices.

Positioning

The patient should be supine. When using the jugular approach, some operators have the patient rotate his or her head in a contralateral direction.

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