Victory JH, Minc SD, Zaslau S, Elbakry AA, Almenoff MI. Open retrieval management of inferior vena cava filter erosion resulting in symptomatic hydroureteronephrosis.
J Vasc Surg Cases Innov Tech 2023;
9:101188. [PMID:
37799839 PMCID:
PMC10547826 DOI:
10.1016/j.jvscit.2023.101188]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 03/28/2023] [Indexed: 10/07/2023] Open
Abstract
Inferior vena cava filters are effective for the management of thromboembolic disease but can erode into adjacent organ systems in rare instances. Endovascular retrieval of eroded filters has been the preferred management for this complication. We present a case for which endovascular retrieval was not appropriate because of filter orientation and erosion into the ureter and describe successful management using open retrieval of a permanent filter with erosion into the renal collecting system requiring reconstruction. Although minimally invasive retrieval is preferred over open repair, this approach should be considered when filter erosion is not amenable to endovascular retrieval.
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