Parikh A, Zhang J, Glaser J, Kalapatapu V. Symptomatic duodenal perforation by a Bird's Nest vena cava filter.
J Vasc Surg Cases Innov Tech 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] [What about the content of this article? (0)] [Affiliation(s)] [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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