Aortic and Vertebral Penetration by a G2 Inferior Vena Cava Filter: Report of a Case

Gupta, Pramod Kumar; Lopez, Jorge A.; Ghole, Vidisha; Rice, Gregg D.; Ketkar, Manoj

doi:10.1016/j.jvir.2009.02.017

Cited by 15 publications

(9 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients who had multiple risk factors and morbidities, almost one half of them had cancer, nevertheless, all inserted IVC filters were applied successfully, except in one patient who had massive IVC thrombosis which precluded progress of the filter to its place. Moreover, no complications during insertion were reported among our patients in contrast to what was reported in other studies [13,14] . Also, no short or long term complications related to the filters were reported in our study.…”

Section: Discussioncontrasting

confidence: 78%

“…The risk of complications could be either during its insertion, e.g. penetration of the IVC) [13] , penetration to the aortic lumen or vertebral body [14] , or occlusion after insertion by filter thrombus [12] , migration of the filter in a whole [15][16][17][18][19][20][21] or in part in the form an embolus of fractured part [22] .…”

Section: Discussionmentioning

confidence: 99%

“…Other complications were reported in various settings which included; IVC occlusion by filter thrombus [12] , penetration of the IVC [13] , aortic lumen and vertebral body penetration [14] . Lumbar artery laceration with retroperitoneal hematoma [15] , migration to the right ventricle resulting in ventricular tachycardia and elevated troponin [16] .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Inferior Vena Cava Filters: Two Years Experience in King Abdulaziz University Hospital

Jabbad

Arabia²

2010

med

View full text Add to dashboard Cite

Pulmonary embolism remains a serious challenge for health care. Anticoagulation is considered the first line of treatment; however, in patients with anticoagulation failure or contraindication, inferior vena cava filter placement has been widely performed for the prevention of pulmonary embolism. This study is a retrospective review of King Abdulaziz University Hospital two years experience (2008-2009). Nineteen patients who had venous thromboembolic manifestations were subjected to inferior vena cava filter insertion. The main reasons for inferior vena cava filter insertion were the occurrence of venous thromboembolism on top of anticoagulants, and bleeding resulted from heparin induced thrombocytopenia. All of the patients were presented with one or more risk factors and co-morbidities among malignancies were the most common (52.6%). Insertion was successful for all cases, except one patient who had pre-existing massive inferior vena cava thrombosis. No complications were recorded during filter insertion or on the short term, after filter insertion. Medical indications for inferior vena cava filters in our hospital are not different from what was cited in the literature. Although, each individual patient had multiple risk factors and co-morbidities, nevertheless our patients had no complications related to inferior vena cava filter insertion, which denotes that inferior vena cava filters can be inserted properly and safely.

show abstract

Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Inferior Vena Cava Filters: Two Years Experience in King Abdulaziz University Hospital

Jabbad

Arabia²

2010

med

View full text Add to dashboard Cite

show abstract

“…12 Although we report IVC penetration by a Greenfield filter, this complication has been shown to occur with nearly all types of caval filters. 2-5,13 As previously suggested, transecting the filter legs flush with the cava and removal from the bowel is associated with resolution of pain symptoms. Complete removal of the filter is rarely necessary; it is technically difficult as the filter is well incorporated into the vein wall and must be approached with caution.…”

Section: Discussionmentioning

confidence: 90%

Late Gastrointestinal Complications of Inferior Vena Cava Filter Placement: Case Report and Literature Review

Vandy¹,

Rectenwald²

2011

Perspectives in Vascular Surgery and Endovascular Therapy

View full text Add to dashboard Cite

In current practice, inferior vena cava (IVC) filters are commonly used in the prevention of pulmonary embolism. Despite their widespread use, periprocedural as well as late complications do occur. Filter penetration of the IVC wall into surrounding structures, including bowel, is a known although rare complication. This complication may manifest with abdominal pain, gastrointestinal bleeding, duodenocaval fistula, or small bowel obstruction. The authors present a case of abdominal pain from duodenal penetration by a Greenfield IVC filter 13 years after insertion. A detailed operative description and pertinent review of the literature is provided.

show abstract

“…In parallel, the complications of long-or short-term filtration have become increasingly evident to physicians, regulatory agencies, and the public [4][5][6][7][8][9][10][11][12][13][14]. Among these complications are caval thrombosis, extension of lower-extremity deep vein thrombosis (DVT) [13], caval or adjacent vessel perforation (e.g., aorta, lumbar artery, renal artery, common iliac artery) [15][16][17][18][19][20][21][22][23], penetration of adjacent viscera (e.g., duodenum, liver parenchyma, pancreatitis) [17,[24][25][26][27], embedding within adjacent bony structures [15,28,29], whole or partial migration, device fracture, and embolization [15,[30][31][32][33][34][35][36][37][38][39][40][41]. Lethal complications have occurred [32,42].…”

Section: Introductionmentioning

confidence: 99%

Advanced Techniques for Removal of Retrievable Inferior Vena Cava Filters

Iliescu

Haskal

2011

Cardiovasc Intervent Radiol

124

View full text Add to dashboard Cite

Inferior vena cava (IVC) filters have proven valuable for the prevention of primary or recurrent pulmonary embolism in selected patients with or at high risk for venous thromboembolic disease. Their use has become commonplace, and the numbers implanted increase annually. During the last 3 years, in the United States, the percentage of annually placed optional filters, i.e., filters than can remain as permanent filters or potentially be retrieved, has consistently exceeded that of permanent filters. In parallel, the complications of long-or short-term filtration have become increasingly evident to physicians, regulatory agencies, and the public. Most filter removals are uneventful, with a high degree of success. When routine filter-retrieval techniques prove unsuccessful, progressively more advanced tools and skill sets must be used to enhance filter-retrieval success. These techniques should be used with caution to avoid damage to the filter or cava during IVC retrieval. This review describes the complex techniques for filter retrieval, including use of additional snares, guidewires, angioplasty balloons, and mechanical and thermal approaches as well as illustrates their specific application.

show abstract

Aortic and Vertebral Penetration by a G2 Inferior Vena Cava Filter: Report of a Case

Cited by 15 publications

References 11 publications

Inferior Vena Cava Filters: Two Years Experience in King Abdulaziz University Hospital

Inferior Vena Cava Filters: Two Years Experience in King Abdulaziz University Hospital

Late Gastrointestinal Complications of Inferior Vena Cava Filter Placement: Case Report and Literature Review

Advanced Techniques for Removal of Retrievable Inferior Vena Cava Filters

Contact Info

Product

Resources

About