Successful multi-step catheter intervention for thrombotic inferior vena cava filter retrieval

Publication date: Available online 10 August 2019Source: Journal of Cardiology CasesAuthor(s): Hiroya Hayashi, Akihiro Tsuji, Ryotaro Asano, Nao Konagai, Jin Ueda, Shigefumi Fukui, Takeshi Ogo, Shigeki Miyata, Satoshi YasudaAbstractA 45-year-old man, who was implanted with an inferior vena cava (IVC) filter in his infrarenal IVC, had a complication of deep vein thrombosis (DVT) propagation from the IVC, beyond the IVC filter, to the right calf and left external iliac veins. The entire IVC filter was covered with a massive thrombus. We first decided to retrieve the IVC filter itself, which was suspected of causing metallic allergy. The thrombotic IVC filter was successfully retrieved using multi-step catheter intervention. To our knowledge, this is the first case report to describe successful multi-step catheter intervention for retrieval of an IVC filter covered with a massive thrombus.<Learning objectives: Inferior vena cava (IVC) filter thrombosis is one of the most serious IVC filter complications. It is difficult to retrieve the IVC filter covered with a massive thrombus. Multi-step catheter intervention technique may be useful to retrieve an IVC filter with thrombotic occlusion.>
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research