title: Catheter-Directed Fibrinolysis of Submassive Pulmonary Embolism After IVC Filter Migration to Renal Veins.
abstract: A 76-year-old male presented with a submassive pulmonary embolism despite having an inferior vena cava (IVC) filter. Imaging demonstrated pulmonary artery emboli and a deep vein thrombosis in the left common femoral vein. Venography revealed the IVC filter with struts extending into the left and right renal veins. A new IVC filter was deployed below the prior filter. This case demonstrates IVC filter migration complicated by a submassive pulmonary embolism.
authors.forename: Kershaw V
authors.initials: KV
authors.lastname: Patel
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Leef
authors.forename: John E
authors.initials: JE
authors.lastname: Blair
authors.forename: Atman P
authors.initials: AP
authors.lastname: Shah
authors.forename: Sandeep
authors.initials: S
authors.lastname: Nathan
authors.affiliation: The University of Chicago Medicine, 5841 S. Maryland Avenue, MC 6080, Chicago, IL 60637 USA. jpaul@medicine.bsd.uchicago.edu.
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Paul
mesh_terms: D000368:Aged; D002404:Catheterization / Q000379:methods*; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D010690:Phlebography; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D012082:Renal Veins; D015912:Thrombolytic Therapy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters / Q000009:adverse effects*