Endovascular treatment of late aortic perforation due to vena cava filter.
Perforation of inferior vena cava (IVC) by filter struts ranges from 9% to 24%, and clinical sequelae and complications are unpredictable. The aim of this article was to report an unusual case of late complication of IVC filter that caused an IVC wall perforation and penetration of the filter's hooks in the aorta, which was treated by endovascular procedure. Molding strut tip by balloon angioplasty, its accommodation with a bare stent, and its coverage and protection with an endoprosthesis is probably the first technique reported so far in this situation.
Vascular and Endovascular Surgery Department, Botucatu School of Medicine, São Paulo State University UNESP, Botucatu, São Paulo, Brazil. ricardoyoshida@gmail.com
Ricardo de Alvarenga
Rde A
Yoshida
Winston Bonetti
WB
Yoshida
Ralf
R
Kolvenbach
Paulo Roberto Bahdur
PR
Vieira
D000800:Angioplasty, Balloon / Q000295:instrumentation; D001011:Aorta / Q000293:injuries / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D005260:Female; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*