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.
Porcellini
Massimo
M
Department of Vascular and Endovascular Surgery, Medical School, Federico II University, Naples, Italy. chirvasc@unina.it
Stassano
Paolo
P
Musumeci
Antonino
A
Bracale
Giancarlo
G
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