ANESTHESIA FOR IVC FILTER REMOVAL
Anesthetic choice:
-MAC
-Rarely GA (can be a long case)
Position:
-Supine
-Both arms tucked
-Table turned 90 degrees(L side of patient toward us)
Lines:
-1 IV( to L hand if possible, easier for us)
-No arterial line
Pharmacology:
-Can use sedation of choice(Versed, Fentanyl,Propofol)
-Need patient awake after Foley (if used) and wires in(want
patient to hold breath during cavagram for quality pix)
-May use Heparin(have available)
Tips:
-Surgeon will access from Right IJ(Filter can only be removed
that way because of its shape)
-Cavagram will be done before filter removal to be sure no clots
in basket
-Alignment of removal grasper and filter attachment may be
surgically difficult leading to lengthy case.
Devised 4/04
Brewer
Ragab