This video demonstrates the use of a retrievable inferior vena cava (IVC) filter in a trauma patient. Indications for the use of these devices in high risk trauma patients will be presented. The video will discuss techniques and strategies which are essential for the safe implantation and retrieval of these devices. The Eastern Association for the Surgery of Trauma (EAST) guideline for the "Management of Venous Thromboembolism in Trauma Patients" give a Level 3 recommendation for placement of an IVC filter in high risk trauma patients who are not candidates for anticoagulation. However, there is concern over placement of a permanent device in patients with a narrow window of thromboembolic risk. Potential long term complications of IVC filters include caval thrombosis and filter migration which carries significant morbidity. Recent advancements have led to the development of IVC filters that have the option of percutaneous removal. These devices are ideal in serving as a bridge to anticoagulation and avoid the risks of long term implantation. The current patient is a 28 year-old who was involved in a high speed motor vehicle collision. He suffered an open book pelvic fracture and was hemodynamically unstable on presentation. The patient was taken emergently to interventional radiology where he underwent angiographic embolization of pelvic hemorrhage. This patient was not a candidate for immediate anticoagulation therapy, and the decision was made to place a retrievable filter. Following placement of the filter, the patient underwent open reduction and internal fixation of his pelvis. He was started on warfarin therapy 14 days following his initial injury but remained immobilized. The patient underwent percutaneous removal of the IVC filter 57 days after his initial injury.