Penetration of an Inferior Vena Cava Filter into the Aorta

Haga, Makoto; Hosaka, Akihiro; Miyahara, Takuya; Hoshina, Katsuyuki; Shigematsu, Kunihiro; Watanabe, Toshiaki

doi:10.3400/avd.cr.14-00066

Cited by 17 publications

(11 citation statements)

References 10 publications

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“…Various complications of IVC filters have been reported. [ 3 8 11 ] For 1 patient in Leon et al . spine series, the IVC filter deployed in the iliac vein.…”

Section: Discussionmentioning

confidence: 99%

“…also noted that IVC filters may not only perforate the IVC, but that they can also penetrate other adjacent major vessels or organs. [ 8 ] They specifically reported an 83-year-old male whose filter perforated the abdominal aorta; he was successfully followed over 1-year without surgery. Once the author had a patient with DVT, where a radiologist deployed a new retrievable filter into the pulmonary artery; as this could not be endovascular retrieved, it was surgically removed.…”

Section: Discussionmentioning

confidence: 99%

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Prophylactic inferior vena cava filter placement prior to lumbar surgery in morbidly obese patients: Two-case study and literature review

Epstein

2015

Surg Neurol Int

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Background:Preoperative “prophylactic” placement of inferior vena cava (IVC) filters in morbidly obese patients (e.g., body mass index [BMI] >40 or BMI over 35 with hypertension/diabetes) undergoing multilevel decompressive lumbar laminectomies may reduce the risk of postoperative pulmonary embolism (PE), and death.Methods:Two patients, ages 69 and 68, with morbid obesity (BMI's of 40.4 and 37.5 both with hypertension and diabetes), received prophylactic IVC filters prior to L1–S1 laminectomies. Intraoperatively and postoperatively, both received alternating compression stocking prophylaxis, and received subcutaneous heparin 5000 U q12 h 48 h after surgery until discharge; none developed deep venous thrombosis (DVT) or PE, and both filters were uneventfully removed within 3 postoperative months.Results:The spinal surgical literature largely supports the placement of IVC filters for major risk factors; obesity (BMI >40), a history of DVT/PE, cancer, fusions, hypercoagulation syndromes, pulmonary/circulatory disorders, preoperative/postoperative immobility, staged procedures (five spinal levels), combined anterior-posterior surgery, iliocaval manipulation, age >80, and prolonged surgery (e.g., >261 min vs. >8 h). Although the safety and efficacy of prophylactic IVC filters for spine surgery in patients with morbidly obesity are well substantiated, those for bariatric patients are less clear.Conclusions:Prophylactic IVC filters were successfully placed/retrieved in 2 morbidly obese patients, ages 68 and 69, undergoing L1–S1 lumbar decompressions. Although the spine surgery literature documents the safety/efficacy of prophylactic IVC filters in patients with morbid obesity, the bariatric literature still has major concerns.

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“…Various complications of IVC filters have been reported. [ 3 8 11 ] For 1 patient in Leon et al . spine series, the IVC filter deployed in the iliac vein.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prophylactic inferior vena cava filter placement prior to lumbar surgery in morbidly obese patients: Two-case study and literature review

Epstein

2015

Surg Neurol Int

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“…However, when adjacent structures are perforated by the filter, potentially severe clinical consequences may occur. Reports of perforation into the duodenum, the aorta (Figure 9), and renal pelvis have been reported (42)(43)(44). Concomitant anticoagulation in the setting of IVC filter perforation increases the risk of bleeding and may lead to retroperitoneal hematoma formation (45).…”

Section: Perforationmentioning

confidence: 99%

Complications of inferior vena cava filters

Grewal¹,

Chamarthy²,

Kalva³

2016

Cardiovasc. Diagn. Ther.

131

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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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“…25 Furthermore, increasingly there have been reports and awareness in both the medical and lay literature of complications related to IVC filters. [26][27][28][29][30] This has also been recognized by FDA that tracks such complications through its Manufacturer and User Device Experience database. 31 The exact rate of complications from IVC filters is low but difficult to quantify as the majority are silent, occur distant to the insertion time, or present incidentally on imaging.…”

Section: Inferior Vena Cava Filter Retrieval Evidence For Removalmentioning

confidence: 98%

Inferior Vena Cava Filters: When to Place and When to Remove

Moriarty

Steinberger

2017

Semin Respir Crit Care Med

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Pulmonary embolism (PE) is a common and feared result of deep vein thrombosis. While anticoagulation is the mainstay of management, interruption of flow of thrombus from leg veins to the pulmonary circulation is frequently desired either in lieu of or in addition to anticoagulation. Inferior vena cava filters have become frequently used to prevent PE despite a paucity of evidence for efficacy and increasing concerns about the long-term complications of indwelling filters.

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Penetration of an Inferior Vena Cava Filter into the Aorta

Cited by 17 publications

References 10 publications

Prophylactic inferior vena cava filter placement prior to lumbar surgery in morbidly obese patients: Two-case study and literature review

Prophylactic inferior vena cava filter placement prior to lumbar surgery in morbidly obese patients: Two-case study and literature review

Complications of inferior vena cava filters

Inferior Vena Cava Filters: When to Place and When to Remove

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