Article

Late complication from a retrievable inferior vena cava filter with associated caval, aortic, and duodenal perforation: a case report.

Vascular Surgery and Organ Transplant Unit-Department of Surgery, Transplantation and Advanced Technologies, University Hospital of Catania, Catania, Italy.
Journal of Vascular Surgery (impact factor: 3.21). 07/2008; 48(1):223-5. DOI:10.1016/j.jvs.2008.02.002 pp.223-5
Source: PubMed

ABSTRACT Inferior vena cava filters are an excellent therapeutic method for those patients in whom anticoagulant therapy is contraindicated or ineffective. However, filter placement is associated with a high rate of serious complications (>30%), with death occurring in 3.7% of patients. The most common complication is an asymptomatic inferior vena cava penetration and perforation. In some rare circumstances, however, therapeutic intervention may be required because of perforation of adjacent organs. We report a clinical case of a patient with simultaneous caval, duodenal, and aortic perforation resulting from penetration of inferior vena cava filter hooks. A brief review of the literature discusses presenting symptoms and treatment of such rare complications.

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Keywords

adjacent organs
 
asymptomatic inferior vena cava penetration
 
brief review
 
clinical case
 
duodenal
 
excellent therapeutic method
 
filter placement
 
inferior vena cava filter hooks
 
Inferior vena cava filters
 
literature discusses
 
patients
 
rare circumstances
 
rare complications
 
serious complications
 
symptoms