Modeling Blood Flow in a Tilted Inferior Vena Cava Filter: Does Tilt Adversely Affect Hemodynamics?

Flow conditions caused by the tilted Celect filter may elevate the risk of intra/perifilter thrombosis and facilitate vascular remodeling. This latter condition may increase the potential for incorporation of the hook of the filter into the vena cava wall, thereby complicating filter retrieval. These findings also suggest that further long-term clinical follow-up with conical filters should be pursued with a specific evaluation of tilt as a factor of intrafilter thrombus and thrombosis.