Retrograde Insertion of Inferior Vena Cava (IVC) Filter: A Bailout Plan

Abstract

Venous thromboembolism poses a significant threat to patient health and remains a leading cause of preventable morbidity and mortality. To mitigate the risk of pulmonary embolism resulting from deep vein thrombosis, the insertion of an Inferior Vena Cava (IVC) filter has become a critical intervention. While several approaches are available for IVC filter placement, the internal jugular approach has gained recognition for its unique advantages. This case study provides a comprehensive examination of an 85-year-old female patient who underwent IVC filter insertion through the internal jugular approach with an indication of extensive bilateral iliac venous thrombosis, secondary to femoral vein dialysis catheter. By exploring the clinical experience and outcomes associated with this specific technique, we aim to elucidate the benefits, considerations and potential implications for future practice. Through an in-depth analysis of this case, interventional radiologists, clinicians and healthcare professionals involved in venous thromboembolism management can gain valuable insights into the safety, efficacy and patient-centered outcomes of the internal jugular approach for IVC filter insertion.