Perforation of the Inferior Vena Cava by a Recently Inserted Greenfield Filter

Mastrobattista, J.M.; Caputo, Thomas A.; Bush, Howard S.

doi:10.1006/gyno.1995.1070

Cited by 15 publications

(4 citation statements)

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“…6,20 In addition, abdominal trauma or physical pressure on the IVC may contribute to penetration. Previous studies have reported cases of penetration in patients who experienced motor vehicle accidents, 22 abdominal surgeries, 23 and strenuous abdominal exercise. 24 Concurrent anticoagulation has also been associated with retroperitoneal hemorrhage, which may promote filter penetration.…”

Section: -13mentioning

confidence: 99%

“…38 For example, formal laparotomy is recommended for patients with filter-related gastric bleeding, small bowel volvulus, small bowel obstruction, or life-threatening retroperitoneal hemorrhage. 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.…”

Section: -13mentioning

confidence: 99%

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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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Section: -13mentioning

confidence: 99%

Section: -13mentioning

confidence: 99%

Caval Penetration by Inferior Vena Cava Filters

et al. 2015

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“…Filter malposition or tilting is another important early complication that can reduce the effectiveness of the device to catch thrombi and predispose to recurrent PE (10). Other rare early complications include failure of the filter to open, vessel penetration, air embolism, and sheath kinking (11)(12)(13). Late complications are uncommon but include recurrent PE, caval thrombosis, filter migration, and filter fracture (1,3,14,15).…”

Section: Discussionmentioning

confidence: 98%

Penetration of Günther Tulip Filter Struts through an Introducer Sheath: Case Report and Safety Concerns

Contractor¹,

Merkulov²,

Bhatti³

et al. 2009

Journal of Vascular and Interventional Radiology

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“…4 Late complications and their reported incidences include pulmonary embolism (0.5% to 4%), nonflow-limiting and occlusive IVC thrombosis (7.7% to 28%), post-thrombotic sequelae (5% to 6%), filter fracture or migration (5% to 20%), and arteriovenous fistulae. 1,5 Filter migration, defined as caudal or cranial movement Ͼ1 cm, occurs in 5% to 20% of cases. Migration into the heart and pulmonary arteries, as well as fragment embolization into pulmonary arteries or hepatic veins, have been reported.…”

Section: Discussionmentioning

confidence: 99%

Pharmacomechanical thrombolysis for renal salvage after filter migration and renal vein thrombosis

Kiguchi

McDonald

Govindarajan

et al. 2011

Journal of Vascular Surgery

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A 64-year-old woman underwent prophylactic inferior vena cava filter placement immediately after spinal surgery for pulmonary embolus prophylaxis. One week after surgery, acute renal failure developed, and she required hemodialysis secondary to filter migration with iliocaval and renal vein thrombosis. Pharmacomechanical thrombolysis was performed, with complete recovery of renal function and no evidence of recurrence on follow-up imaging. This report highlights an important and rare complication of filter placement and the importance of prompt thrombus debulking to preserve end organ function while reducing the risks of hemorrhagic complications. Pharmacomechanical thrombolysis allows prompt clearance of venous outflow channels and is attractive in patients with end-organ compromise and high risk for bleeding.

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Perforation of the Inferior Vena Cava by a Recently Inserted Greenfield Filter

Cited by 15 publications

References 0 publications

Caval Penetration by Inferior Vena Cava Filters

Caval Penetration by Inferior Vena Cava Filters

Penetration of Günther Tulip Filter Struts through an Introducer Sheath: Case Report and Safety Concerns

Pharmacomechanical thrombolysis for renal salvage after filter migration and renal vein thrombosis

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