blood pressure<\/a>, and oxygen saturation throughout the procedure. A time out was performed prior to procedure initiation.<\/span><\/p>\nThe ____was prepped and draped in sterile fashion.\u00a0<\/span><\/p>\nThe vascular structures were ultrasonographically evaluated. \u00a0 Images were stored and transferred to PACS.\u00a0 Under ultrasound guidance, the \u00a0 \u00a0 vein was accessed with a micropuncture needle.\u00a0 Vein patency and needle entry were documented.\u00a0 A 0.018″ wire was placed and the needle exchanged for a 5 French dilator.<\/span><\/p>\nAn Amplatz wire was advanced into the inferior vena cava, and the dilator exchanged for a 5 French marker pigtail catheter. Inferior venacavography was performed using nonionic contrast. This is a baseline study to define variant anatomy, caval size, location and number of renal veins, and to evaluate for ileocaval thrombus.<\/span><\/p>\nThe Amplatz wire was replaced, and the pigtail exchanged for the \u00a0 \u00a0 filter delivery system.<\/span><\/p>\nUnder direct fluoroscopic guidance, the filter was positioned and deployed. A hand injection was performed to assess filter position.<\/span><\/p>\nThe sheath was removed, and hemostasis achieved with compression.<\/span><\/p>\nNo immediate complication occurred, and the patient was discharged from the angiography suite in satisfactory condition.<\/span><\/p>\n <\/p>\n
FINDINGS:<\/span><\/p>\n\n- There is no ileocaval thrombus.<\/span><\/li>\n
- There are single renal veins bilaterally. The IVC is normal in caliber. There is no aberrant anatomy.<\/span><\/li>\n
- The filter is appropriately positioned below the lowest renal vein.<\/span><\/li>\n
- The ____vein is ultrasonographically patent and compresses. Needle entry was documented.\u00a0 Images were stored to PACS.<\/span><\/li>\n<\/ol>\n
<\/p>\n
IMPRESSION:<\/span><\/p>\n\n- No evidence for ileocaval thrombus.<\/span><\/li>\n
- Uneventful image guided placement of an infrarenal\u00a0 _____ IVC filter as described.<\/span><\/li>\n<\/ol>\n
<\/p>\n
If the patient is a candidate for filter retrieval, this ideally should be scheduled within 1-3 months.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"PROCEDURE: Inferior venacavogram and IVC filter placement\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 INDICATION:\u00a0\u00a0\u00a0\u00a0 DATE:\u00a0\u00a0\u00a0\u00a0 OPERATORS:\u00a0 MEDICATIONS: Versed \u00a0 \u00a0 mg IV, Fentanyl \u00a0 \u00a0 mcg IV CONTRAST: \u00a0 \u00a0 ml […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"jetpack_post_was_ever_published":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[32],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"\n
Inferior Vena Cava (IVC) Filter Placement Technique and Dictation - LA Vascular<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n