Erratum to: CT of inferior vena cava filters: normal presentations and potential complications

Georgiou, N.; Katz, Douglas S.; Ganson, George; Eng, Kaitlin; Hon, Man

doi:10.1007/s10140-015-1337-2

Cited by 1 publication

(3 citation statements)

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“…IVC thrombosis secondary to endovenous intervention, such as IVC filter placement, could also lead to a thrombosis in situ. This could be due to direct venous injury at the puncture site in the femoral vein or from the filter within the IVC [ 6 , 7 ]. The IVC filter can act as a foreign body leading to coagulation activation and recruitment [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…This could be due to direct venous injury at the puncture site in the femoral vein or from the filter within the IVC [ 6 , 7 ]. The IVC filter can act as a foreign body leading to coagulation activation and recruitment [ 6 ]. Although IVC thrombosis secondary to IVC filter is an issue, most of the time the thrombosis never causes a full occlusion of the vein.…”

Section: Discussionmentioning

confidence: 99%

“…IVC thrombus, although rare, are prevalent in the United States due to presumed overutilization of IVC filter and low rates of retrieval of filters [ 4 ]. Other complications of an IVC thrombus are post thrombotic syndrome, claudication, pulmonary embolism, renal vein thrombus and phlegmasia cerula dolens [ 5 , 6 , 8 ]. Some patients, as in this case, progress becoming unstable and are in need of therapeutic intervention.…”

Section: Discussionmentioning

confidence: 99%

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Successful IVC thrombus extraction with the AngioVac device following five vessel coronary artery bypass graft: a case report

Neubauer

Gianfrate

Henn

2021

J Cardiothorac Surg

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Background Inferior vena cava thrombosis is cited to be a complication of inferior vena cava filter placement and post coronary artery bypass surgery. Often only mild symptoms arise from these thrombi; however, due to the chronic nature of some thrombi and the recanalization process, more serious complications can arise. Although anticoagulation remains the gold standard of treatment, some patients are unable to be anticoagulated. In this case, we present a 65-year-old male who underwent IVC filter placement and open-heart surgery who later developed extensive femoral and iliocaval thrombosis leading to right heart failure, which required thrombus extraction with an AngioVac suction device. Case presentation We present a 65-year-old male who presented with bilateral pulmonary emboli with extensive right lower extremity deep vein thrombosis. Upon investigation he had ischemic heart disease and underwent a five-vessel coronary artery bypass for which he had an IVC filter placed preoperatively. On post operative day 3 to 4, he was decompensated and was diagnosed with an IVC thrombus. He progressed to right heart failure and worsening cardiogenic shock despite therapeutic anticoagulation and was taken for a suction thrombectomy using the AngioVac (AngioDynamics, Latham, NY) aspiration thrombectomy device. The thrombectomy was successful and he was able to recover and was discharged from the hospital. Conclusion Despite being a rare complication, IVC thrombosis can have detrimental effects. This case is an example of how IVC thrombus in the post-operative setting can lead to mortality. The gold standard is therapeutic anticoagulation but despite that, this patient continued to have worsening cardiogenic shock. Other therapies have been described but because of its rarity, they are only described in case reports. This case shows that the AngioVac device is a successful treatment option for IVC thrombus and can have the possibility of future use.

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Section: Discussionmentioning

confidence: 99%