Delayed retroperitoneal arterial hemorrhage after inferior vena cava (IVC) filter insertion: case report and literature review of caval perforations by IVC filters.
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.
Woodward
E Baylor
EB
Division of Vascular Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Farber
Alik
A
Wagner
Willis H
WH
Cossman
David V
DV
Cohen
J Louis
JL
Silverman
Jeffrey
J
Levin
Phillip M
PM
Frisch
David M
DM
D000328:Adult; D001158:Arteries / Q000293:injuries; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008161:Lumbosacral Region / Q000098:blood supply; D008279:Magnetic Resonance Imaging; D011152:Popliteal Vein; D011655:Pulmonary Embolism / Q000517:prevention & control; D012187:Retroperitoneal Space; D016306:Vena Cava Filters / Q000009:adverse effects*; D020246:Venous Thrombosis / Q000628:therapy*