Desafio terapêutico: retirada de filtro de veia cava após 4 anos de implante
Terapeutic challenge: vena cava filter retrieval four years after implantation
José Júlio Bechir Maués Filho; Karen Falcão Britto; Sara Oliveira Rocha
Resumo
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Abstract
Vena cava filters are used to treat deep vein thrombosis and pulmonary embolism. Despite the extensive literature on these filters, there is still no reliable evidence that they improve clinical results or mortality in patients with deep vein thrombosis. There are also increasing reports of complications from indiscriminate use, with a complication rate of approximately 19%. Complications include penetration into the vein wall, involvement of adjacent organs, fracture, embolization of filter fragments, and deep vein thrombosis. We describe the successful removal of a vena cava filter 4 years after implantation for inferior vena cava thrombosis. The procedure was performed using common endovascular surgery devices.
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References
1 Buso G, Alatri A, Calanca L, et al. Why optional inferior vena cava filters are not always retrieved? A real world 19 years experience in a Swiss tertiary care university hospital. Eur J Intern Med. 2020;76:64-70.
2 Rezaei-Kalantari K, Rotzinger DC, Qanadli SD. Vena cava filters: toward optimal strategies for filter retrieval and patients’ follow-up. Front Cardiovasc Med. 2022;9:746748.
3 Bajda J, Park AN, Raj A, Raj R, Gorantla VR. Inferior vena cava filters and complications: a systematic review. Cureus. 2023;15(6):e40038.
4 Johnson MS, Spies JB, Scott KT, et al. Predicting the safety and effectiveness of inferior vena cava filters (PRESERVE): outcomes at 12 months. J Vasc Interv Radiol. 2023;34(4):517-28.
5 Balabhadra S, Kuban JD, Lee S, et al. Association of inferior vena cava filter placement with rates of pulmonary embolism in patients with cancer and acute lower extremity deep venous thrombosis. JAMA Netw Open. 2020;3(7):e2011079.
6 Mellado M, Trujillo-Santos J, Bikdeli B, et al. Vena cava filters in patients presenting with major bleeding during anticoagulation for venous thromboembolism. Intern Emerg Med. 2019;14(7):1101-12.
7 Turner TE, Saeed MJ, Novak E, Brown DL. Association of inferior vena cava filter placement for venous thromboembolic disease and a contraindication to anticoagulation with 30-day mortality. JAMA Netw Open. 2018;1(3):e180452-180452.
8 Reddy S, Zack CJ, Lakhter V, et al. Prophylactic inferior vena cava filters prior to bariatric surgery: insights from the National Inpatient Sample. JACC Cardiovasc Interv. 2019;12(12):1153-60.
9 King RW, Wooster MD, Veeraswamy RK, Genovese EA. Contemporary rates of inferior vena cava filter thrombosis and risk factors. J Vasc Surg Venous Lymphat Disord. 2022;10(2):313-24.
10 Burt JN, Hirsh JD, Panchal RM, et al. Inferior vena cava filter occlusion causing phlegmasia alba dolens. Am Surg. 2023;89(9):3915-6.
11 Ming Z, Li W, Yuan R, Li X, Ding W. Risk factors for thrombosis associated with retrievable inferior vena cava filter placement. Int J Clin Exp Med. 2016;(7):12818-24.
12 Brahmandam A, Skrip L, Mojibian H, et al. Costs and complications of endovascular inferior vena cava filter retrieval. J Vasc Surg Venous Lymphat Disord. 2019;7(5):653-9.
13 Quencer KB, Smith TA, Deipolyi A, et al. Procedural complications of inferior vena cava filter retrieval, an illustrated review. CVIR Endovasc. 2020;3(1):23.
Submitted date:
11/07/2023
Accepted date:
11/27/2024