Abstract
Transvenous placement of inferior vena cava (IVC) filters has become commonplace in selected patients with deep venous thrombosis (DVT) and pulmonary embolism (PE). IVC filters have been shown to have excellent therapeutic efficacy and low complication rates. Penetration of the IVC by filter hooks or struts has been reported and commonly noted to be inconsequential We report a laceration of a lumbar artery by a stainless steel Greenfield (SSG) filter strut that resulted in a near fatal hemorrhage, and review the world literature on caval perforation by IVC filters.
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Athanasoulis CA, Kaufman JA, Halpern EF et al.. Inferior vena caval filters: review of a 26-year single-center clinical experience. Radiology 2000; 216: 54–66.
Streiff MB. Vena caval filters: a comprehensive review. Blood 2000; 95: 3669–3677.
Greenfield LJ, Proctor MC. Twenty-year clinical experience with the Greenfield filter. Cardiovasc Surg 1995; 3: 199–205.
Ray CE Jr, Kaufman JA. Complications of inferior vena cava filters. Abdom Imaging 1996; 21: 368–374.
Decousus H, Leizorovicz A, Parent F et al. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis N Engl J Med 1998; 338: 409–415.
Howerton RM, Watkins M, Feldman L. Late arterial hemorrhage secondary to a Greenfield filter requiring operative intervention. Surgery 1991; 109: 265–268.
Proctor MC, Greenfield LJ, Cho KJ et al. Assessment of apparent vena caval, penetration by the Greenfield filter. J Endovasc Surg 1998; 5: 251–258.
Greenfield LJ, Zocco J, Wilk J, et al. Clinical experience with the Kim-Ray Greenfield, vena caval filter. Ann Surg 1977; 185: 692–698.
Wojtowycz MM, Stoehr T, Crummy AB, et al. The Bird's Nest inferior vena caval filter: review of a single-center experience. J Vasc Interv Radiol 1997; 8: 171–179.
Chintalapudi UB, Gutierrez OH, Azodo MV. Greenfield filter caval perforation causing an aortic mural thrombus and femoral artery occlusion. Cather Cardiovasc Diagn 1997; 41: 53–55.
Kurgan A, Nunnelee JD, Auer AI. Penetration of the wall of an abdominal aortic aneurysm by a Greenfield filter prong: a late complication. J Vasc Surg 1993; 18: 303–306.
Goldman HB, Hanna K, Dmochowski RR. Ureteral injury secondary to an inferior vena caval filter. J Urol 1996; 156: 1763.
Flanagan D, Creasy T, Charaway F et al. Caval umbrella causing obstructive uropathy. Postgraduate Medical Journal 1996; 72(846): 235–237.
Sarkar MR, Lemminger FM. An unusual cause of upper gastrointestinal haemorrhage—perforation of a vena cava filter into the duodenum. Vasa 1997; 26: 305–307.
Bianchini AU, Mehta SN, Mulder DS et al. Duodenal perforation by a Greenfield filter: endoscopic diagnosis. Am J Gastroenterol 1997; 92: 686–687.
Taheri SA, Kulaylat MN, Johnson E, et al. A complication of the Greenfield filter: fracture and distal migration of two struts—a case report. J Vasc Surg 1992; 16: 96–99.
Zahrani HAA. Bird's nest inferior vena caval filter migration into the duodenum: a rare cause of upper gastrointestinal bleeding. J Endovasc Surg 1995; 2: 372–375.
Dardik A, Campbell KA, Yeo CJ, et al. Vena cava filter ensnarement and delayed migration: an unusual series of cases. J Vasc Surg 1997; 26: 869–874.
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Woodward, E.B., Faber, A., Wagner, W.H. et al. Delayed retroperitoneal arterial hemorrhage after inferior vena cava (IVC) filter insertion: Case report and literature review of caval perforations by IVC filters. Annals of Vascular Surgery 16, 193–196 (2002). https://doi.org/10.1007/s10016-001-0150-4
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DOI: https://doi.org/10.1007/s10016-001-0150-4