Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.180131
Jornal Vascular Brasileiro
Case Report

An alternative approach to treatment of inferior vena cava filter perforation

Tratamento alternativo para perfuração de veia cava inferior por filtro

Mariana Krutman; Guilherme Yazbek; Kenji Nishinari; Bruno Soriano Pignataro; Guilherme Andre Zottele Bomfim; Rafael Noronha Cavalcante; Guilherme Centofanti; Igor Yoshio Imagawa Fonseca

Downloads: 0
Views: 21

Abstract

Abstract: We report a case of inferior vena cava filter perforation immediately after filter implantation, recognized intraoperatively in a patient undergoing laparotomy for resection of locally advanced ovarian cancer. We describe an alternative approach with strut resection, less invasive than filter removal, enabling the device to be maintained and bleeding to be controlled.

Keywords

deep venous thrombosis, pulmonary embolism, inferior vena cava filter

Resumo

Resumo: Relatamos um caso de perfuração de veia cava inferior imediatamente após o implante de um filtro. A complicação foi reconhecida no intraoperatório de uma laparotomia para ressecção de um câncer de ovário localmente avançado. Descrevemos uma abordagem alternativa, menos invasiva do que a remoção do filtro, consistindo na ressecção das hastes do dispositivo. Essa abordagem permitiu a manutenção do filtro e o controle efetivo do sangramento.
 

Palavras-chave

trombose venosa profunda, embolia pulmonar, filtro da veia cava inferior

References

1 Tapson VF. Acute pulmonary embolism. N Engl J Med. 2008;358:1037-52. http://dx.doi.org/10.1056/NEJMra072753.

2 Baptista Sincos AP, Sincos IR, Labropoulos N, Donegá BC, Klepacz A, Aun R. Symptomatic duodenal perforation by inferior vena cava filter. Phlebology. 2018;33(8):523-33. http://dx.doi.org/10.1177/0268355517731049. PMid:28931347.

3 Malgor RD, Labropoulos N. A systematic review of symptomatic duodenal perforation by inferior vena cava filters. J Vasc Surg. 2012;55(3):856-61. http://dx.doi.org/10.1016/j.jvs.2011.09.082. PMid:22209606.

4 Feezor RJ, Huber TS, Welborn MB 3rd, Schell SR. Duodenal perforation with an inferior vena cava filter: an unusual cause of abdominal pain. J Vasc Surg. 2002;35(5):1010-2. http://dx.doi.org/10.1067/mva.2002.121567. PMid:12021693.

5 Greenfield LJ, Proctor MC. Twenty-year clinical experience with the Greenfield filter. Cardiovasc Surg. 1995;3(2):199-205. http://dx.doi.org/10.1016/0967-2109(95)90895-C. PMid:7606407.

6 Wood EA, Malgor RD, Gasparis AP, Labropoulos N. Reporting the impact of inferior vena cava perforation by filters. Phlebology. 2014;29(7):471-5. http://dx.doi.org/10.1177/0268355513491723. PMid:23761875.

7 Caldwell EH, Fridley TL, Erb EL, Fleischer SR. Endovascular retrieval of an inferior vena cava filter with simultaneous caval, aortic, and duodenal perforations. Vasc Endovascular Surg. 2012;46(8):671-4. http://dx.doi.org/10.1177/1538574412465479. PMid:23129585.

8 Wang SL, Siddiqui A, Rosenthal E. Long-term complications of inferior vena cava filters. J Vasc Surg Venous Lymphat Disord. 2017;5(1):33-41. http://dx.doi.org/10.1016/j.jvsv.2016.07.002. PMid:27987607.

9 Lyman GH, Khorana AA, Kuderer NM, et al. Venous thromboembolism prophylaxis and treatment in patients with cancer: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol. 2013;31(17):2189-204. http://dx.doi.org/10.1200/JCO.2013.49.1118. PMid:23669224.

10 Malgor RD, Labropoulos N. A systematic review of symptomatic duodenal perforation by inferior vena cava filters. J Vasc Surg. 2012;55(3):856-61. http://dx.doi.org/10.1016/j.jvs.2011.09.082. PMid:22209606.
 

5eb2f0e70e88255630d76ee0 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections