Penetration of the wall of an abdominal aortic aneurysm by a greenfield filter prong: A late complication

Abstract

This is a case report of a 68-year-old woman in whom a late and previously unreported complication developed that resulted from penetration of an aortic aneurysm by the prong of a stainless steel Greenfield filter. This complication came into view 7 years after placement of the filter, at the time of aneurysm resection. Enlargement of the aneurysm had occurred at a rapid rate. The patient was symptom free before surgery.

Massive Pulmonary Embolism During Pregnancy Successfully Treated With Recombinant Tissue Plasminogen Activator

“…70 Multiple series have documented long-term patency rates in excess of 95% and a rate of recurrent PE of 2% to 4%. 71,72 With widespread use of Greenfield filters, case reports of late complications have emerged 21,73-89 : • Duodenal perforation 21,73,74 • Caval rupture in aortic mural thrombus 77,78 • Penetration into vertebral bodies 79,80 • Strut failure resulting in penetration into the retroperitoneum 81 • Distal migration resulting in poor alignment and pulmonary emboli 76 • Acute myocardial infarction from migration to the right atrium 82 • Migration into pulmonary artery 83 • Aortic perforation 77,85 • Tricuspid insufficiency from intracardiac migration 87 • Renal pelvis perforation 88 • Penetration into an aortic aneurysm 89 In addition, severe complications during filter placement may occur, including intracardiac and intrapulmonary migration. 90,91 The exact incidence of such complications is unknown, but they serve as a reminder of the potential longterm morbidity associated with filter placement.…”

Greenfield filter caval perforation causing an aortic mural thrombus and femoral artery occlusion

“…Complications arising from Greenfield filter placement are not frequent, and caval wall perforation, which occurs in up to 41% of patients [3], has been considered to be of no clinical significance in most patients. Nevertheless, recent reports indicate that major complications can develop from strut perforation into neighboring retroperitoneal and peritoneal structures [4], involving the ureter [5], small bowel [6], and aorta [7]. A filter producing an aortic thrombus secondary to protru-sion of a strut into the aorta is a rare finding.…”

Surgical removal of a tilted temporary inferior vena cava filter incorporated with a large thrombus: Report of a case

“…2 The placement of permanent fi lters in patients with transient indications demands caution because the initial benefi ts may be canceled out by longterm drawbacks, such as recurrent DVT or other complications (perforation, migration, structural fracture, etc.). [4][5][6][7][8] Temporary or retrievable IVC fi lters have therefore often been employed instead of permanent fi lters in order to prevent PTE for a short period. In this case, the temporary IVC fi lter was placed and consequently incorporated with a large quantity of thrombus.…”

“…In addition, IVC fi lters have also been reported to cause various complications in the early and late stages following placement. [1][2][3][4][5][6][7][8] In this article, we present a very rare case of a surgical removal of a temporary IVC fi lter, which was tilted 90° and incorporated with a large thrombus.…”