Technical Error During Deployment Leads to Vena Cava Filter Migration and Massive Pulmonary Embolism

Fotiadis, Nikolas I.; Sabharwal, Tarun; Dourado, Renato; Fikrat, Shabbo; Adam, Andreas

doi:10.1007/s00270-007-9159-6

Cited by 13 publications

(1 citation statement)

References 11 publications

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“…A robust anchoring mechanism is important in preventing filter migration and distant embolization, including to the heart, [5][6][7][8] because filter migration and embolization to the heart can cause arrhythmia, tamponade, and death. The mechanism of IVC filter penetration is not well understood.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

Caval Penetration by Inferior Vena Cava Filters

et al. 2015

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Foreign Body Retrieval

Krokidis

Sabharwal

Adam

2012

Catheter-Based Cardiovascular Interventions

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Optional inferior vena caval filters: where are we now?

2008

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With the advent of newer optional/retrievable inferior vena caval filters, there has been a rise in the number of filters inserted globally. This review article examines the currently available approved optional filter models, outlines the clinical indications for filter insertion and examines the expanding indications. Additionally, the available evidence behind the use of optional filters is reviewed, the issue of anticoagulation is discussed and possible future filter developments are considered.

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Technical Error During Deployment Leads to Vena Cava Filter Migration and Massive Pulmonary Embolism

Cited by 13 publications

References 11 publications

Caval Penetration by Inferior Vena Cava Filters

Caval Penetration by Inferior Vena Cava Filters

Foreign Body Retrieval

Optional inferior vena caval filters: where are we now?

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