Intracardiac migration of nitinol TrapEase vena cava filter and paradoxical embolism.
The nitinol TrapEase inferior vena cava filter is a new device for pulmonary embolism prophylaxis. No cases of filter migration or filter-related complications with this type of device have so far been described. We report a case of intracardiac migration of this filter in a patient with a patent foramen ovale, resulting in severe cardiogenic shock, cerebral and right arm paradoxical embolism. Surgical treatment, results, causes of these complications are discussed.
Department of Vascular and Endovascular Surgery, Medical School, Federico II University, Naples, Italy. chirvasc@unina.it
Massimo
M
Porcellini
Paolo
P
Stassano
Antonino
A
Musumeci
Giancarlo
G
Bracale
D000497:Alloys; D001916:Brachial Artery; D006348:Cardiac Surgical Procedures; D019320:Embolism, Paradoxical / Q000209:etiology*; D005548:Foreign-Body Migration / Q000150:complications* / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000628:therapy; D016306:Vena Cava Filters / Q000009:adverse effects*
D000497:Alloys; C013616:nitinol