Inferior vena cava filter placement via forearm vein

Nicholas S. Amoroso, Ravi Diwan, Tak Kwan

Research output: Contribution to journalArticlepeer-review


Acute deep vein thrombosis and pulmonary emboli are pervasive causes of morbidity and mortality that mandate systemic anticoagulant therapy. Certain populations additionally are treated with vena caval filters. Here, we describe a unique approach for placement of inferior vena cava filter placement via forearm vein access. By first initiating venous access with a commonplace 22 gauge Jelco intravenous catheter venipuncture of the forearm vein, a wire was placed through the intravenous catheter and exchange of the catheter for a long 6F sheath. A retrievable inferior vena cava filter (OPTEASE, Cordis Co., NJ USA) was then securely placed. Importantly, utilizing the forearm vein provides an access site less prone to bleeding or hematoma complications and more easily managed if bleeding complications occur compared to femoral or internal jugular veins. As our case illustrates, we propose that forearm vein access for IVC filter placement is an effective and safer option than femoral or internal jugular access as a part of treatment for venous thromboembolism. It can be performed in the ambulatory setting without the need for interruption of important systemic anticoagulation.

Original languageEnglish
Pages (from-to)951-954
Number of pages4
JournalExperimental and Clinical Cardiology
Issue number7
StatePublished - 2014
Externally publishedYes


  • Peripheral vein access
  • Peripheral venous intervention
  • Vena cava filter


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