Delozier A, Ghaleb M, Andrade A. Tine after tine: a varied approach to the removal of a long-standing IVC filter.
Radiol Case Rep 2017;
12:335-339. [PMID:
28491183 PMCID:
PMC5417753 DOI:
10.1016/j.radcr.2017.03.010]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2016] [Revised: 02/11/2017] [Accepted: 03/06/2017] [Indexed: 11/24/2022] Open
Abstract
Inferior vena cava filters are important tools used to help prevent life-threatening pulmonary embolisms in hospitalized patients with contraindications to pharmacological prophylactic anticoagulation. This is a case report of a patient who had an inferior vena cava filter placed after a traumatic subdural hematoma. He made a complete recovery but was lost to follow-up until he presented 1825 days after filter deployment with abdominal pain discovered to be from penetration of the filter tines outside the lumen and into adjacent structures. We describe a case complicated by fibrotic tine entrapment with penetration to surrounding structures and discuss the technical approach used to free and eventually remove the long-standing filter.
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