Endovascular treatment of an abdominal aortic pseudoaneurysm as a late complication of inferior vena cava filter placement

Medina, Carlos Raúl Belotti López de; Indes, Jeffrey; Smith, Christopher

doi:10.1016/j.jvs.2006.02.025

Cited by 24 publications

(17 citation statements)

References 21 publications

(24 reference statements)

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“…There has been a case report of an infrarenal aortic pseudoaneurysm after placement of a Simon Nitinol IVC filter (47). Additionally, an abdominal aortic pseudoaneurysm was reported from erosion of a Bird's Nest IVC filter into the wall of the abdominal aorta (48). Both of these were resolved with surgical graft placement.…”

Section: Perforationmentioning

confidence: 99%

Complications of inferior vena cava filters

Grewal¹,

Chamarthy²,

Kalva³

2016

Cardiovasc. Diagn. Ther.

132

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Inferior vena cava (IVC) filter placement is a relatively low risk alternative for prophylaxis against pulmonary embolism in patients with pelvic or lower extremity deep venous thrombosis who are not suitable for anticoagulation. There is an increasing trend in the number of IVC filter implantation procedures performed every year. There are many device types in the market and in the early 2000s, the introduction of retrievable filters brought an additional subset of complications to consider. Modern filter designs have led to decreased morbidity and mortality, however, a thorough understanding of the limitations and complications of IVC filters is necessary to weight the risks and benefits of placing IVC filters. In this review, the complications associated with IVC filters are divided into procedure related, post-procedure, and retrieval complications. Differences amongst the device types and retrievable filters are described, though this is limited by a significant lack of prospective studies. Additionally, the clinical presentation as well as prevention and treatment strategies are outlined with each complication type.

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Section: Perforationmentioning

confidence: 99%

Complications of inferior vena cava filters

Grewal¹,

Chamarthy²,

Kalva³

2016

Cardiovasc. Diagn. Ther.

132

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“…23,38,39 Additionally, patients with vascular injury may require endovascular embolization, stent placement, or laparotomy and surgical ligation. 40 In high-risk patients, penetrations involving the abdominal aorta have been treated successfully with endovascular stent-grafts, 22,41 and penetration-induced obstructive nephropathy has been treated successfully with percutaneous nephrostomy and antegrade ureteral stenting. 42 This study was limited by the quality of included studies and reports in that the overall levels of evidence were not high.…”

Section: -13mentioning

confidence: 99%

Caval Penetration by Inferior Vena Cava Filters

et al. 2015

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Background-Limited penetration into the caval wall is an important securing mechanism for inferior vena cava (IVC) filters; however, caval penetration can also cause unintentional complications. The aim of this study was to assess the incidence, severity, clinical consequences, and management of filter penetration across a range of commercially available IVC filters. Methods and Results-The MEDLINE database was searched for all studies showed evidence of organ/structure involvement. Among patients with penetration, 8% were symptomatic, 45% were asymptomatic, and 47% had unknown symptomatology. The most frequently reported symptom was pain (77%, 108 of 140). Major complications were reported in 83 patients (5%). These complications required interventions including surgical removal of the IVC filter (n=63), endovascular stent placement or embolization (n=11), endovascular retrieval of the permanent filter (n=4), and percutaneous nephrostomy or ureteral stent placement (n=3). Complications led to death in 2 patients. A total of 87% of patients (127 of 146) underwent premature filter retrieval or interventions for underlying symptoms or penetration-related complications. Conclusions-Caval penetration is a frequent but clinically underrecognized complication of IVC filter placement.Symptomatic patients accounted for nearly 1/10th of all penetrations; most of these cases had organ/structure involvement. Interventions with endovascular retrieval and surgery were required in most of these symptomatic patients.

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“…Alternatively, presentation may be with local compressive symptoms, or even rupture. Endovascular treatment in the form of direct thrombin injection [22], coiling [23], occlusion devices [24], and endograft stenting [25,26] have all been described and often considered be first line option of treatment in most cases [27,28]. Open surgical repair of visceral iatrogenic pseudoaneurysms can be challenging, especially when in a previously exposed surgical field.…”

Section: Visceral Iatrogenic Pseudoaneurysmsmentioning

confidence: 99%