Late erosion of a prophylactic Celect IVC filter into the aorta, right renal artery, and duodenal wall.
We present the case of a patient with retrievable inferior vena cava (IVC) filter-related pseudoaneurysms of the infrarenal aorta and right renal artery, with associated erosion into the duodenal wall. The patient was seen 10 months following multiorgan trauma and placement of a prophylactic retrievable IVC filter (R-IVCF). Management required autogenous aortic reconstruction, caval repair, and subsequent right nephrectomy. This case demonstrates that R-IVCFs may be associated with significant risks, which is concerning, as a majority of prophylactic R-IVCFs placed after multisystem trauma are not removed.
Becher
Robert D
RD
Department of Vascular and Endovascular Surgery, Wake Forest University, Winston-Salem, NC, USA.
Corriere
Matthew A
MA
Edwards
Matthew S
MS
Godshall
Christopher J
CJ
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D020878:Device Removal; D004386:Duodenum / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D008297:Male; D009392:Nephrectomy; D011474:Prosthesis Design; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery