Delayed Retroperitoneal Arterial Hemorrhage after Inferior Vena Cava (IVC) Filter Insertion: Case Report and Literature Review of Caval Perforations by IVC Filters

2002 ◽  
Vol 16 (2) ◽  
pp. 193-196 ◽  
Author(s):  
E. Baylor Woodward ◽  
Alik Farber ◽  
Willis H. Wagner ◽  
David V. Cossman ◽  
J. Louis Cohen ◽  
...  
2017 ◽  
Vol 22 (6) ◽  
pp. 512-517 ◽  
Author(s):  
Jieun Kang ◽  
Heung-Kyu Ko ◽  
Ji Hoon Shin ◽  
Gi-Young Ko ◽  
Kyung-Wook Jo ◽  
...  

Retrievable inferior vena cava (IVC) filters are increasingly used in patients with venous thromboembolism (VTE) who have contraindications to anticoagulant therapy. However, previous studies have shown that many retrievable filters are left permanently in patients. This study aimed to identify the common indications for IVC filter insertion, the filter retrieval rate, and the predictive factors for filter retrieval attempts. To this end, a retrospective cohort study was performed at a tertiary care center in South Korea between January 2010 and May 2016. Electronic medical charts were reviewed for patients with pulmonary embolism (PE) who underwent IVC filter insertion. A total of 439 cases were reviewed. The most common indication for filter insertion was a preoperative/procedural aim, followed by extensive iliofemoral deep vein thrombosis (DVT). Retrieval of the IVC filter was attempted in 44.9% of patients. The retrieval success rate was 93.9%. History of cerebral hemorrhage, malignancy, and admission to a nonsurgical department were the significant predictive factors of a lower retrieval attempt rate in multivariate analysis. With the increased use of IVC filters, more issues should be addressed before placing a filter and physicians should attempt to improve the filter retrieval rate.


F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 795
Author(s):  
Hina Khan ◽  
Usman Jilani

Venous thromboembolic disease is associated with high rates of morbidity and mortality. First line therapy for thromboembolic disease remains anticoagulation. However, certain populations warrant consideration of an inferior vena cava (IVC) filter. This case report discusses an example of a patient who presented with an acute pulmonary embolism and highlights the utilization of the inferior vena cava (IVC) filter as patient therapy. Thus, in this case report we will review the indications for IVC filter placement and compare the compliance of IVC filter placement to established guidelines of use.


2021 ◽  
pp. 153857442110225
Author(s):  
Haidong Wang ◽  
Zhenhua Liu ◽  
Xiaofei Zhu ◽  
Jianlong Liu ◽  
Libo Man

Background: Inferior vena cava (IVC) filters are commonly used in China to prevent pulmonary embolisms in patients with deep vein thrombosis. However, IVC filter removal is complicated when the filter has penetrated the IVC wall and endovascular techniques usually fail. The purpose of this study was to evaluate the effectiveness and safety of retroperitoneal laparoscopic-assisted retrieval of wall-penetrating IVC filters after endovascular techniques have failed. Patients and Methods: We retrospectively evaluated a series of 8 patients who underwent retroperitoneal laparoscopic-assisted retrieval of a wall-penetrating IVC filter between December 2017 and November 2019. All patients had experienced at least 1 failure with endovascular retrieval before the study. The filters were slanted and the proximal retrieval hooks penetrated the posterior lateral IVC wall in all patients on computed tomography. Demographic information, operation parameters, and complications were recorded and analyzed. All patients were followed up for at least 12 months. Results: The procedure was successful in all patients. The median surgery time was 53.6 ± 12.7 min and the average blood loss was 45.0 ± 13.5 ml. No serious complication occurred during the patients’ hospitalization, which was an average of 6.4 days. The median follow-up time was 15.1 months, and no patient had deep vein thrombosis recurrence. Conclusions: Retroperitoneal laparoscopic-assisted retrieval is a feasible and effective technique, particularly when proximal retrieval hooks penetrate the posterior lateral wall of the IVC after endovascular techniques have failed. To some extent, the development of this technique at our institution has increased the success rate of filter removal and improved patient satisfaction.


2017 ◽  
Vol 85 (4) ◽  
pp. 361-365
Author(s):  
José Antonio López-Ruiz ◽  
Luis Tallón-Aguilar ◽  
Beatriz Marenco-de la Cuadra ◽  
José López-Pérez ◽  
Fernando Oliva-Mompeán ◽  
...  

1993 ◽  
Vol 27 (2) ◽  
pp. 155-162
Author(s):  
Anastasios Chr. Liatas ◽  
Soterios Dendrinos ◽  
Socrates Koundourakis ◽  
Theodore Liakakos

2019 ◽  
Vol 57 ◽  
pp. 276.e9-276.e13 ◽  
Author(s):  
Huan Zhang ◽  
Luyuan Niu ◽  
Fuxian Zhang ◽  
Nengwei Zhang ◽  
Qing Fan

2013 ◽  
Vol 29 (7) ◽  
pp. 480-483 ◽  
Author(s):  
Xiaodong Wang ◽  
Zhengxin Chen ◽  
Qianrong Cai

Double inferior vena cava (DIVC) with deep venous thrombosis (DVT) is rare, and there is only one reported case of DIVC with DVT treated by catheter-directed thrombolysis. We report a case of a 32-year-old man with an extensive venous clot involving the infrarenal segment of a double IVC who received filter implantation and catheter-directed thrombolysis.


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