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Brahmandam A, Grubman S, Salem R, Davis KA, Tonnessen BH, Guzman RJ, Ochoa Chaar CI. Placement and retrieval of bilateral iliac vein filters in patients with mega cava. J Vasc Surg Cases Innov Tech 2022; 8:610-615. [PMID: 36248380 PMCID: PMC9556588 DOI: 10.1016/j.jvscit.2022.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 07/26/2022] [Accepted: 08/04/2022] [Indexed: 01/05/2023] Open
Abstract
Temporary interruption of the inferior vena cava is the recommended treatment to prevent pulmonary embolism in patients with venous thromboembolism (VTE) and active contraindications for therapeutic anticoagulation. In patients with mega cava (diameter >30 mm), temporary inferior vena cava filters are contraindicated. In the present report, we have described the successful placement and retrieval of bilateral iliac vein filters in two patients with VTE, mega cava, and active contraindications for therapeutic anticoagulation. At the last follow-up, both patients had recovered without recurrent VTE and had had all filters successfully retrieved without complications.
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Affiliation(s)
- Anand Brahmandam
- Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CT
| | | | - Ronald Salem
- Division of Surgical Oncology, Department of Surgery, Yale University School of Medicine, New Haven, CT
| | - Kimberly A. Davis
- Division of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale University School of Medicine, New Haven, CT
| | - Britt H. Tonnessen
- Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CT
| | - Raul J. Guzman
- Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CT
| | - Cassius Iyad Ochoa Chaar
- Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CT
- Correspondence: Cassius Iyad Ochoa Chaar, MD, MS, Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, 330 Cedar St, Boardman 204B, New Haven, CT 06510
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Parikh A, Zhang J, Glaser J, Kalapatapu V. Symptomatic duodenal perforation by a Bird's Nest vena cava filter. JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES 2020; 7:104-107. [PMID: 33718677 PMCID: PMC7921187 DOI: 10.1016/j.jvscit.2020.11.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 11/15/2020] [Indexed: 12/02/2022]
Abstract
This case describes a patient with a permanent Bird's Nest inferior vena cava filter in the setting of spinal cord injury and paraplegia who presented with epigastric pain resulting from duodenal perforation of his filter. After confirming that the patient was stable hemodynamically with normal laboratory values, he underwent open exploration with trimming of the extraluminal struts and wires, leaving the intact filter in place, with resolution of his pain. Although percutaneous removal of inferior vena cava filters is preferred for retrievable filters, this case demonstrates the safety and efficacy of open surgical management for permanent filters, not designed for retrieval.
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Affiliation(s)
- Anand Parikh
- Division of Vascular and Endovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa
| | - Jason Zhang
- Division of Vascular and Endovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa
| | - Julia Glaser
- Division of Vascular and Endovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa
| | - Venkat Kalapatapu
- Division of Vascular and Endovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa
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Cusano A, Rosenberg D, Haddock P, Meraney A. Gross haematuria associated with penetration of an inferior vena cava filter into the right renal collecting system. BMJ Case Rep 2015; 2015:bcr-2014-207865. [PMID: 25750222 DOI: 10.1136/bcr-2014-207865] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Inferior vena cava (IVC) filters are a viable alternative for patients with venous thromboembolic disease for whom standard anticoagulation therapy is contraindicated. Rare complications associated with their use, however, include misplacement and IVC penetration. We report a case of a 63-year-old woman who developed gross haematuria following IVC filter penetration into both the right renal collecting system and renal pelvis, for which open caval removal and reconstruction was required. This is an unusual case of IVC filter penetration causing symptomatic haematuria and requiring surgical intervention.
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Affiliation(s)
- Antonio Cusano
- Department of Urology, Hartford Hospital, Hartford, Connecticut, USA
| | | | - Peter Haddock
- Department of Urology, Hartford Hospital, Hartford, Connecticut, USA
| | - Anoop Meraney
- Department of Urology, Hartford Hospital, Hartford, Connecticut, USA
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Maleux G, Heye S, Verhamme P, Vaninbroukx J, Delcroix M. Penetration of a fractured Bird's Nest filter strut into the liver parenchyma: report of two cases. Acta Radiol 2011; 52:643-5. [PMID: 21521727 DOI: 10.1258/ar.2011.100519] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
This report deals with two rare but similar cases of asymptomatic fracture of a Bird's Nest inferior vena cava (IVC) filter strut, penetrated into the liver parenchyma. Follow-up over 4 and 6 years, respectively, could not reveal any changes in the position of the fragmented strut in the liver parenchyma or any evidence of clinical symptoms owing to the migrated strut fragment.
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Affiliation(s)
| | | | | | | | - M Delcroix
- Department of Pneumology, University Hospitals Leuven, Belgium
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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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Wu GS, Gilet A, Kirshbaum M, Bilfinger T, Ferretti J. Inferior Vena Cava Filter Migration with Severe Deformity of Filter. J Vasc Interv Radiol 2009; 20:1257-9. [DOI: 10.1016/j.jvir.2009.05.040] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2008] [Revised: 05/17/2009] [Accepted: 05/20/2009] [Indexed: 10/20/2022] 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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Gelzinis T, Subramaniam K, Katz WE, Wei L. Intracardiac Migration of Retrievable Vena Cava Filter. J Cardiothorac Vasc Anesth 2009; 23:381-3. [DOI: 10.1053/j.jvca.2008.04.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2007] [Indexed: 11/11/2022]
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Nazzal M, Abbas J, Shattu J, Nazzal M. Complications Secondary to the Bard Retrievable Filter: A Case Report. Ann Vasc Surg 2008; 22:684-7. [DOI: 10.1016/j.avsg.2007.12.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2007] [Revised: 11/02/2007] [Accepted: 12/04/2007] [Indexed: 10/21/2022]
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Fotiadis NI, Sabharwal T, Dourado R, Fikrat S, Adam A. Technical Error During Deployment Leads to Vena Cava Filter Migration and Massive Pulmonary Embolism. Cardiovasc Intervent Radiol 2007; 31 Suppl 2:S174-6. [PMID: 17726631 DOI: 10.1007/s00270-007-9159-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2007] [Revised: 07/25/2007] [Accepted: 07/29/2007] [Indexed: 11/25/2022]
Abstract
The Günther Tulip vena cava filter is a safe, effective, well-established device for pulmonary embolism prophylaxis. We report a patient in whom there was migration of the filter to the right atrium, 2 weeks after insertion, caused by a technical error during deployment. An attempt to retrieve the filter percutaneously failed, necessitating removal at open-heart surgery. The potential causes of migration are described and the lessons learned from this unusual case are outlined.
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Affiliation(s)
- Nikolas I Fotiadis
- Interventional Radiology Department, Guy's and St. Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK.
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Wax BN, Katz DS, Badler RL, Khalili M, Math KR, Mazzie JP, Weston SR, Javors BR. Complications of Abdominal and Pelvic Procedures: Computed Tomographic Diagnosis. Curr Probl Diagn Radiol 2006; 35:171-87. [PMID: 16949474 DOI: 10.1067/j.cpradiol.2006.06.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The postprocedural period is a critical time in which serious complications can manifest. Localization of suspected complications following abdominal and pelvic procedures can be difficult on clinical evaluation alone. For example, abdominal pain after a colonoscopy may vary in etiology and can result from simple colonic spasm to colonic perforation, hemoperitoneum, or even splenic rupture. Vague abdominal pain following a renal biopsy may be due to minimal postprocedural bleeding into and around the kidney or may be due to potentially life-threatening hemorrhage. In such patients, computed tomography can play a crucial role in the rapid identification of complications as well guidance of subsequent patient management. The purpose of this article is to demonstrate the benefit of computed tomography-assisted diagnosis of complications associated with routine procedures performed on or throughout the abdomen and pelvis, including cardiac catheterization, colonoscopy, endoscopy, percutaneous biopsy, and interventional radiology procedures.
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Affiliation(s)
- Bobbi N Wax
- Department of Radiology, Winthrop-University Hospital, Mineola, NY 11501, USA
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