Late complication from a retrievable inferior vena cava filter with associated caval, aortic, and duodenal perforation: a case report.
Inferior vena cava filters are an excellent therapeutic method for those patients in whom anticoagulant therapy is contraindicated or ineffective. However, filter placement is associated with a high rate of serious complications (>30%), with death occurring in 3.7% of patients. The most common complication is an asymptomatic inferior vena cava penetration and perforation. In some rare circumstances, however, therapeutic intervention may be required because of perforation of adjacent organs. We report a clinical case of a patient with simultaneous caval, duodenal, and aortic perforation resulting from penetration of inferior vena cava filter hooks. A brief review of the literature discusses presenting symptoms and treatment of such rare complications.
Veroux
Massimiliano
M
Vascular Surgery and Organ Transplant Unit-Department of Surgery, Transplantation and Advanced Technologies, University Hospital of Catania, Catania, Italy. veroux@unict.it
Tallarita
Tiziano
T
Pennisi
Monica
M
Veroux
Pierfrancesco
P
D001011:Aorta / Q000293:injuries*; D004386:Duodenum / Q000293:injuries*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*