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Eckersley M, Balmforth D, Hambly JJ, Aktuerk D. Iatrogenic injury following retrieval of an inferior vena cava filter. ANZ J Surg 2021; 92:1891-1892. [PMID: 34741782 DOI: 10.1111/ans.17360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 10/19/2021] [Accepted: 10/27/2021] [Indexed: 11/28/2022]
Affiliation(s)
| | | | | | - Dincer Aktuerk
- Barts Heart Centre, St Bartholomew's Hospital, London, UK
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2
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Chen L, Zhang J, Yang Z. Inferior Vena Cava Filter Migration to the Left Internal Iliac Vein. Ann Vasc Surg 2019; 65:289.e13-289.e16. [PMID: 31863954 DOI: 10.1016/j.avsg.2019.12.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2018] [Revised: 11/17/2019] [Accepted: 12/02/2019] [Indexed: 02/08/2023]
Abstract
Inferior vena cava filter placement is an important method for managing deep venous thrombosis of the lower extremities and has a high risk of pulmonary embolism. Filter migration is rare but potentially fatal. We describe a case of migration of an inferior vena cava filter to the left internal iliac vein. The filter perforated the internal iliac vein, resulting in hemorrhagic shock, and was removed with open surgery. To our knowledge, this is the first reported case of migration of an inferior vena cava filter to an internal iliac vein.
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Affiliation(s)
- Lei Chen
- Vascular Surgery Department of Xuanwu Hospital of Capital Medical University, Beijing, China; Vascular Surgery Department of Chengde Medical College, Chengde, China
| | - Jian Zhang
- Vascular Surgery Department of Xuanwu Hospital of Capital Medical University, Beijing, China.
| | - Zhi Yang
- Vascular Surgery Department of Chengde Medical College, Chengde, China
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3
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Makaryus M, Sahni S, Kumar A, Shah RD, Cohen SL, Mehrishi S, Talwar A. Right Ventricular Perforation and Subsequent Cardiac Tamponade Caused by IVC Filter Strut Fracture Migration. J Acute Med 2017; 7:87-91. [PMID: 32995178 PMCID: PMC7517970 DOI: 10.6705/j.jacme.2017.0702.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Cardiac tamponade, if not recognized and treated immediately, is a life threatening condition with various etiologies. Most common causes of cardiac tamponade encountered in emergency rooms are due to trauma, post myocardial infarction wall rupture, cancer and all other causes of pericardial effusion. Iatrogenic causes of cardiac tamponade include anticoagulation and procedures related. Currently there is a general comfort level amongst physicians that inferior vena cava (IVC) filters are not associated with significant complications. However, one of the feared life-threatening immediate complications of IVC filter placement is complete migration of the filter to the heart, with possible risk for cardiac arrhythmia, cardiac tamponade, and death. IVC filter strut fracture and migration to the heart and pulmonary arteries is another possible cause of cardiac tamponade and needs to be added to the differential diagnosis in the setting of tamponade signs and symptoms in a patient with history of IVC filter placement. We present a case of IVC filter strut fracture and migration to the right ventricle with penetration of the free wall causing cardiac tamponade with subsequent successful percutaneous retrieval. We hope to raise awareness through this case of the rare but potentially fatal complications of IVC filter placement and to advise regarding the judicious use of IVC filters.
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Affiliation(s)
- Mina Makaryus
- Northwell Health Department of Pulmonary, Critical Care, & Sleep Medicine New Hyde Park, NY United States
| | - Sonu Sahni
- Northwell Health Department of Pulmonary, Critical Care, & Sleep Medicine New Hyde Park, NY United States
- Touro College of Osteopathic Medicine Department of Primary Care New York, NY United States
| | - Arjun Kumar
- New York University College of Arts and Sciences New York, NY United States
| | - Rakesh D Shah
- Northwell Health Department of Radiology Manhasset, NY United States
| | - Stuart L Cohen
- Northwell Health Department of Radiology Manhasset, NY United States
| | - Sandeep Mehrishi
- Northwell Health Department of Pulmonary, Critical Care, & Sleep Medicine New Hyde Park, NY United States
| | - Arunabh Talwar
- Northwell Health Department of Pulmonary, Critical Care, & Sleep Medicine New Hyde Park, NY United States
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4
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Wakabayashi Y, Takeuchi W, Yamazaki K. Inferior vena cava filter misplacement in the right atrium and migration to the right ventricle followed by successful removal using the endovascular technique: A case report and review of the literature. SAGE Open Med Case Rep 2015; 3:2050313X15595833. [PMID: 27489693 PMCID: PMC4857299 DOI: 10.1177/2050313x15595833] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2015] [Accepted: 06/21/2015] [Indexed: 11/17/2022] Open
Abstract
Inferior vena cava filters are effective for preventing the passage of thrombi into the pulmonary arteries in patients with pulmonary embolism and deep vein thrombosis. These filters are indicated in patients with contraindications to anticoagulant therapy or in patients with recurrent acute pulmonary embolism despite the administration of anticoagulant therapy. However, the occurrence of filter-related complications, such as filter migration to the heart, has been increasing. Herein, we report a case of OptEase inferior vena cava filter misplacement in the right atrium. Although the filter migrated to the right ventricle, it was successfully removed and repositioned in the inferior vena cava using endovascular techniques. Unfortunately, moderate tricuspid regurgitation developed, due to the damage to the tricuspid valve that was caused by the procedure. We have also reviewed the relevant literature and discussed the possible strategies for managing cases of filter migration to the heart and preventing filter misplacement.
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Affiliation(s)
- Yasushi Wakabayashi
- Department of Cardiovascular Medicine, Nagano Prefectural Kiso Hospital, Nagano, Japan
- Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan
| | - Wataru Takeuchi
- Department of Cardiovascular Medicine, Nagano Prefectural Kiso Hospital, Nagano, Japan
| | - Kyohei Yamazaki
- Department of Cardiovascular Medicine, Nagano Prefectural Kiso Hospital, Nagano, Japan
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5
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Endovascular treatment of a thrombosed intracardiac vena cava filter. J Vasc Surg Venous Lymphat Disord 2014; 2:455-7. [DOI: 10.1016/j.jvsv.2013.11.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Revised: 11/22/2013] [Accepted: 11/26/2013] [Indexed: 11/22/2022]
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6
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An T, Moon E, Bullen J, Kapoor B, Wu A, Sands M, Wang W. Prevalence and Clinical Consequences of Fracture and Fragment Migration of the Bard G2 Filter: Imaging and Clinical Follow-up in 684 Implantations. J Vasc Interv Radiol 2014; 25:941-8. [DOI: 10.1016/j.jvir.2014.01.035] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2013] [Revised: 01/28/2014] [Accepted: 01/28/2014] [Indexed: 11/25/2022] Open
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7
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Advanced Techniques for Removal of Retrievable Inferior Vena Cava Filters. Cardiovasc Intervent Radiol 2011; 35:741-50. [DOI: 10.1007/s00270-011-0205-z] [Citation(s) in RCA: 82] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2011] [Accepted: 05/22/2011] [Indexed: 10/18/2022]
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8
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Kiguchi M, McDonald KA, Govindarajan S, Makaroun MS, Chaer RA. Pharmacomechanical thrombolysis for renal salvage after filter migration and renal vein thrombosis. J Vasc Surg 2011; 53:1391-3. [DOI: 10.1016/j.jvs.2010.10.126] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2010] [Revised: 10/28/2010] [Accepted: 10/28/2010] [Indexed: 10/18/2022]
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9
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Contractor S, Esmaeili A, Reina D, Deitch E. Incomplete deployment of the Vena Tech LP filter--case series and concerns. Vasc Endovascular Surg 2011; 45:345-51. [PMID: 21527468 DOI: 10.1177/1538574411400762] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The Vena Tech LP vena cava filter (B Braun, Evanston, Illinois) has been FDA approved since 2001 and is a permanent vena cava filtration device. It replaced the previous Vena tech LGM filter also manufactured by B Braun. The LGM filter had 2 case series reporting a high incidence of incomplete deployment of the filter, especially when placed from a jugular approach. Design changes were made to this device and the LP filter introduced. The LP filter has also been reported to have incompletely deployed both in peer reviewed literature as well as the FDA MAUDE website. We present here 3 cases of incomplete deployment of the Vena Tech LP filter and review the cases previously described as well as attempt to present possible etiologies for incomplete deployment.
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Affiliation(s)
- Sohail Contractor
- University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ, USA.
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10
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Aziz F, Comerota AJ. Inferior Vena Cava Filters. Ann Vasc Surg 2010; 24:966-79. [DOI: 10.1016/j.avsg.2010.03.028] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2010] [Accepted: 03/21/2010] [Indexed: 10/19/2022]
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Sing RF, Nguyen PH, Christmas AB, Jacobs DG, Heniford BT. Vena Cava Filter Insertion and the General Surgery Armamentarium: A 13-Year Experience. Am Surg 2010. [DOI: 10.1177/000313481007600725] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
The prevention of pulmonary emboli has a long surgical history. Through the development of percutaneous technologies, vena cava filters (VCFs) are now commonly inserted by interventional radiologists. This study reviews our experience with VCFs inserted by general surgeons. We retrospectively reviewed data from our VCF performance improvement database, which is a prospective collection of the VCF experience of the Department of General Surgery from February 1996 to May 2009. Demographics, procedural information, and complications were recorded. Eight hundred fifty-five VCFs were inserted in 853 patients. The mean age was 42.0 years (range, 14 to 90 years). One hundred ninety-seven VCFs were placed in the operating room, and 658 were placed in the intensive care unit. Twelve VCFs were intentionally inserted in a suprarenal position, and four were placed in the superior vena cava. Two patients received both superior vena cava and inferior vena cava filters. Complications included deep vein thrombosis at the insertion site (n = 16), vena cava thrombosis (n = 9), post-VCF pulmonary embolism (n = 2), and a ventricle perforation requiring operative repair (n = 1). No deaths were attributed to the presence of a VCF. Overall insertion success was 99.8 per cent. In two patients, an inferior VCF could not be placed as a result of inferior vena cava occlusion with no safe “landing zone” for deployment. The placement of VCFs is a vital skill in the general surgery armamentarium. Our experience demonstrates that general surgeons can safely insert VCFs with minimal perioperative complications.
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Affiliation(s)
- Ronald F. Sing
- Department of Surgery, Carolinas Medical Center, Charlotte, North Carolina
| | - Phuong H. Nguyen
- Department of Surgery, Carolinas Medical Center, Charlotte, North Carolina
| | | | - David G. Jacobs
- Department of Surgery, Carolinas Medical Center, Charlotte, North Carolina
| | - B. Todd Heniford
- Department of Surgery, Carolinas Medical Center, Charlotte, North Carolina
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12
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Arabi M, Willatt JM, Shields JJ, Cho KJ, Cwikiel WB. Retrievability of Optional Inferior Vena Cava Filters with Caudal Migration and Caval Penetration: Report of Three Cases. J Vasc Interv Radiol 2010; 21:923-6. [DOI: 10.1016/j.jvir.2010.01.034] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2009] [Revised: 11/03/2009] [Accepted: 01/19/2010] [Indexed: 11/25/2022] Open
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13
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Owens CA, Bui JT, Knuttinen MG, Gaba RC, Carrillo TC, Gast T. Endovascular Retrieval of Intracardiac Inferior Vena Cava Filters: A Review of Published Techniques. J Vasc Interv Radiol 2009; 20:1418-28. [DOI: 10.1016/j.jvir.2009.08.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2009] [Revised: 06/11/2009] [Accepted: 08/03/2009] [Indexed: 10/20/2022] Open
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14
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Technical Success and Safety of Retrieval of the G2 Filter in a Prospective, Multicenter Study. J Vasc Interv Radiol 2009; 20:1449-53. [DOI: 10.1016/j.jvir.2009.08.007] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2009] [Revised: 08/09/2009] [Accepted: 08/13/2009] [Indexed: 11/23/2022] Open
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Owens CA, Bui JT, Knuttinen MG, Gaba RC, Carrillo TC, Hoefling N, Layden-Almer JE. Intracardiac Migration of Inferior Vena Cava Filters. Chest 2009; 136:877-887. [DOI: 10.1378/chest.09-0153] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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16
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Complete atrioventricular block due to venous stent migration from innominated vein to right ventricle: A case report. J Cardiol 2009; 53:453-7. [DOI: 10.1016/j.jjcc.2008.09.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2008] [Revised: 08/29/2008] [Accepted: 09/03/2008] [Indexed: 11/22/2022]
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17
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Retrieval of Recovery IVC Filter After 1,463-Day Implantation. Eur J Trauma Emerg Surg 2009; 36:176-9. [DOI: 10.1007/s00068-009-8087-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2008] [Accepted: 01/27/2009] [Indexed: 11/25/2022]
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18
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Binkert CA. Dr Binkert responds. J Vasc Interv Radiol 2008. [DOI: 10.1016/j.jvir.2008.02.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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