Retrieval of an embedded suprarenal inferior vena cava filter using the Hangman technique

Abstract

Inferior vena cava filters should be ideally placed in the infrarenal caval segment to maintain renal vein outflow and thereby patency; however, in certain circumstances a suprarenal position may be required. Suprarenal filters are subject to the same risks as for infrarenal filters including tilt. While many advanced techniques have been used for infrarenal filter retrievals, there is a paucity of evidence supporting the use of these retrieval techniques in the suprarenal segment. We show a case of successful retrieval of a suprarenal filter using the Hangman technique.