That is indeed a very complicated situation.
Not much studies are there on this subject.
However, in most cases, the thrombosed filter can be removed percutenously.
In your case, this may be problematic though.
Yes if the guide wire can be passed over the filter, then the IVC stenting is possible.
The strut fracture risk is there but considered low.
The large collaterals often carry small emboli to the lung blood vessels resulting in chronic shortness of breath.
For this reason, newer anticoagulants like Xarelto or Eliquis can be used to prevent the embolization of the lung blood vessels and also improve your symptoms.
A reputed vascular surgeon should be consulted with.
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