Total laparoscopic retrieval of inferior vena cava filter

Abstract

While there is some local variability in the use of inferior vena cava filters and there has been some evolution in the indications for filter placement over time, inferior vena cava filters remain a standard option for pulmonary embolism prophylaxis. Indications are clear in certain subpopulations of patients, particularly those with deep venous thrombosis and absolute contraindications to anticoagulation. There are, however, a variety of reported inferior vena cava filter complications in the short and long term, making retrieval of the filter desirable in most cases. Here, we present the case of a morbidly obese patient complaining of chronic abdominal pain after inferior vena cava filter placement and malposition of the filter with extensive protrusion outside the inferior vena cava. She underwent successful laparoscopic retrieval of her malpositioned inferior vena cava filters after failure of a conventional endovascular approach.

Results of Open Surgery in Patients with Late Complications after the Implantation of the Inferior vena Cava Filters

“…Пенетрация КФ в окружающие органы во многих случаях считается показанием к лапаротомии [5,16,21,24,25]. Описано единственное наблюдение полностью лапароскопического удаления КФ модели Cook Celect, пенетрация элементов конструкции которого за пределы сосудистой стенки сопровождалась болевым синдромом, требующим назначения наркотических средств [26].…”

Successful experiences and feasible techniques of robotic-assisted inferior vena cava filter retrieval after failure of endovascular attempts: a case report

“…However, complications can occur after IVC filter placement, including malposition, caval penetration, and filter fracture. Any bleeding encountered is extremely difficult to control during endovascular procedures, which indeed requires conversion to open surgery for better caval control (3,4). Recently, robotic surgeries (e.g., the da Vinci SiHD system) have gradually emerged and allowed surgeons to completely control the IVC and reconstruct vessels in a safe and less aggressive fashion (5).…”

Laparoscopic Retrieval of a Tilted Inferior Vena Cava Filter

“…To the Editor: Retrievable inferior vena cava (IVC) filter placement has been on the rise over the years, but only a small percentage of retrievable IVC filters have been removed, ranging between 10.1% and 38.9%. [ 1 2 ] Laparoscopic retrieval of IVC filter case report was available since 2015,[ 3 ] the filter hook in the case report was seen clearly protruding from the anterior wall of the cava, and there was no need for vena cavotomy and reconstruction. In this case, the IVC filter tip was embedded in the posterior wall and cavotomy was required.…”

“…The laparoscopic approach is suitable for patients with the filter tip well outside the IVC and protruding anteriorly. [ 3 ] For the filter tip protruding posteriorly, or embedded in the cava wall like in this case, laparoscopic surgery would be challenging. The major risk of the laparoscopic approach is either significant blood loss or CO 2 embolism due to IVC tear.…”