Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202301381
Jornal Vascular Brasileiro
Therapeutic Challenge

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

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Resumo

Os filtros de veia cava fazem parte do arsenal terapêutico para o tratamento da trombose venosa profunda (TVP) e da embolia pulmonar. Mesmo com vasta literatura a respeito do uso desses dispositivos, ainda não existe evidência confiável de que melhorem os resultados clínicos e a mortalidade em pacientes com TVP. Além disso, são crescentes os relatos de complicações associadas ao uso indiscriminado dos filtros de veia cava, podendo chegar a cerca de 19%, incluindo penetração na parede da veia, acometimento de órgão vizinho, fratura, embolização de fragmento do filtro e TVP. Descrevemos a retirada bem-sucedida de um filtro de veia cava após 4 anos de implante, associado a trombose de veia cava inferior. O procedimento foi realizado com materiais do dia a dia da cirurgia endovascular.

Palavras-chave

 trombose de veia cava; filtro de veia cava; trombose venosa profunda

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.

Keywords

vena cava thrombosis; vena cava filter; deep vein thrombosis

References

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Submitted date:
11/07/2023

Accepted date:
11/27/2024

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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