Vena cava filter ensnarement and delayed migration: An unusual series of cases

A. Dardik, K. A. Campbell, C. J. Yeo, P. A. Lipsett

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To review delayed and guidewire-induced morbidity associated with vena cava filters. Methods: The records from the Johns Hopkins Hospital, a tertiary care referral center, of all patients who had vena cava filter complications from August 1993 through July 1996 were retrospectively reviewed. Results: Five patients had filter migration or ensnarement with a guidewire. One patient had delayed extrusion of a filter strut into the duodenum. Four patients had filters ensnared by guidewires, including one during initial filter placement and one several years after placement. Conclusions: Delayed complications of vana cava filters should be considered whenever unusual patient signs or symptoms cannot be easily explained, even in the absence of a history of filter placement. To prevent guidewire ensnarement of filters, simple techniques should modify endovascular procedures when vena cava filters are present.

Original languageEnglish (US)
Pages (from-to)869-874
Number of pages6
JournalJournal of vascular surgery
Volume26
Issue number5
DOIs
StatePublished - 1997

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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