Hemorrhagic shock with delayed retroperitoneal hemorrhage after deployment of an inferior vena cava filter: report of a case.
Although inferior vena cava (IVC) filter placement has demonstrated an excellent therapeutic efficacy in preventing pulmonary embolism, several filter-related complications have been reported. Among them, retroperitoneal hemorrhage due to IVC perforation is one of the most serious complications. We report herein a female patient who underwent TrapEase IVC filter placement with anticoagulation and thrombolytic therapy for treatment of pulmonary embolism, and later demonstrated hemorrhagic shock 5 days after filter placement. The patient's blood pressure stabilized after the anticoagulant therapy was stopped and she received a blood transfusion. We should therefore carefully observe patients after IVC filter placement, particularly those receiving simultaneous anticoagulation therapy.
Inuzuka
Kazunori
K
Division of Vascular Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan.
Unno
Naoki
N
Yamamoto
Naoto
N
Mitsuoka
Hiroshi
H
Sagara
Daisuke
D
Suzuki
Minoru
M
Nishiyama
Motohiro
M
Konno
Hiroyuki
H
D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019106:Postoperative Hemorrhage / Q000150:complications* / Q000175:diagnosis; D019919:Prosthesis Implantation / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000601:surgery*; D012187:Retroperitoneal Space; D012771:Shock, Hemorrhagic / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters / Q000009:adverse effects*