Multicenter Trial of the VenaTech Convertible Vena Cava Filter

Eric J. Hohenwalter*, James R. Stone, Paul V. O'Moore, Steven J. Smith, J. Bayne Selby, Robert J. Lewandowski, Shaun Samuels, Paul M. Kiproff, David W. Trost, David C. Madoff, Jeremy Handel, Eric J. Gandras, Athanasios Vlahos, William S. Rilling

*Corresponding author for this work

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Purpose To demonstrate rates of successful filter conversion and 6-month major device-related adverse events in subjects with converted caval filters. Materials and Methods An investigational device exemption multicenter, prospective, single-arm study was performed at 11 sites enrolling 149 patients. The VenaTech Convertible Vena Cava Filter (B. Braun Interventional Systems, Inc, Bethlehem, Pennsylvania) was implanted in 149 patients with venous thromboembolism and contraindication to or failure of anticoagulation (n = 119), with high-risk trauma (n = 14), and for surgical prophylaxis (n = 16). When the patient was no longer at risk for pulmonary embolism as determined by clinical assessment, an attempt at filter conversion was made. Follow-up of converted patients (n = 93) was conducted at 30 days, 3 months, and 6 months after conversion. Patients who did not undergo a conversion attempt (n = 53) had follow-up at 6 months after implant. Results All implants were successful. One 7-day migration to the right atrium required surgical removal. Technical success rate for filter conversion was 92.7% (89/96). Mean time from placement to conversion was 130.7 days (range, 15–391 d). No major conversion-related events were reported. The mean conversion procedure time was 30.7 minutes (range, 7–135 min). There were 89 converted and 32 unconverted patients who completed 6-month follow-up with no delayed complications. Conclusions The VenaTech Convertible filter has a high conversion rate and low 6-month device-related adverse event rate. Further studies are necessary to determine long-term safety and efficacy in both converted and unconverted patients.

Original languageEnglish (US)
Pages (from-to)1353-1362
Number of pages10
JournalJournal of Vascular and Interventional Radiology
Volume28
Issue number10
DOIs
StatePublished - Oct 2017

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Hohenwalter, E. J., Stone, J. R., O'Moore, P. V., Smith, S. J., Selby, J. B., Lewandowski, R. J., Samuels, S., Kiproff, P. M., Trost, D. W., Madoff, D. C., Handel, J., Gandras, E. J., Vlahos, A., & Rilling, W. S. (2017). Multicenter Trial of the VenaTech Convertible Vena Cava Filter. Journal of Vascular and Interventional Radiology, 28(10), 1353-1362. https://doi.org/10.1016/j.jvir.2017.06.032