Successful Endovascular Removal of a Perforated Inferior Vena Cava Filter Complicated by a Large Retroperitoneal Hematoma: Pitfall of Catheter-Directed Thrombolysis

Norio Ishigami; Tomoo Nagai; Junko Arakawa; Hideki Hisadome; Hirotsugu Tabata

doi:10.1055/s-0035-1551794

International Journal of Angiology, Table of Contents

Int J Angiol 2016; 25(01): 070-074
DOI: 10.1055/s-0035-1551794

Case Report

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Successful Endovascular Removal of a Perforated Inferior Vena Cava Filter Complicated by a Large Retroperitoneal Hematoma: Pitfall of Catheter-Directed Thrombolysis

Norio Ishigami

¹Department of Cardiology, Japan Self Defense Forces Central Hospital, Setagaya-ku, Tokyo, Japan

,

Tomoo Nagai

¹Department of Cardiology, Japan Self Defense Forces Central Hospital, Setagaya-ku, Tokyo, Japan

,

Junko Arakawa

¹Department of Cardiology, Japan Self Defense Forces Central Hospital, Setagaya-ku, Tokyo, Japan

,

Hideki Hisadome

²Department of Cardiology, KKR Mishuku Hospital, Meguro-ku, Japan

,

Hirotsugu Tabata

¹Department of Cardiology, Japan Self Defense Forces Central Hospital, Setagaya-ku, Tokyo, Japan

› Author Affiliations

Abstract

Symptomatic caval perforation is rare complication after inferior vena cava (IVC) filter insertion. A 44-year-old woman developed back pain after the placement of retrieval IVC filter during catheter-directed thrombolysis (CDT). Her computed tomography showed a large right-sided retroperitoneal hematoma. After 2 weeks, endovascular removal of the perforated filter was successfully performed without complication. Because thrombolytic agents can accelerate bleeding caused by endovascular procedures, the bleeding rate of the IVC filter deployment during CDT might be higher than expected.

Keywords

deep vein thrombosis - IVC filter complications - IVC wall penetration - thrombolysis - endovascular procedure

Full Text

References

References
1 Jaff MR, McMurtry MS, Archer SL , et al; American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation; American Heart Association Council on Peripheral Vascular Disease; American Heart Association Council on Arteriosclerosis, Thrombosis and Vascular Biology. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation 2011; 123 (16) 1788-1830
2 Enden T, Haig Y, Kløw NE , et al; CaVenT Study Group. Long-term outcome after additional catheter-directed thrombolysis versus standard treatment for acute iliofemoral deep vein thrombosis (the CaVenT study): a randomised controlled trial. Lancet 2012; 379 (9810) 31-38
3 Yamada N, Ishikura K, Ota S , et al. Pulse-spray pharmacomechanical thrombolysis for proximal deep vein thrombosis. Eur J Vasc Endovasc Surg 2006; 31 (2) 204-211
4 Berczi V, Bottomley JR, Thomas SM, Taneja S, Gaines PA, Cleveland TJ. Long-term retrievability of IVC filters: should we abandon permanent devices?. Cardiovasc Intervent Radiol 2007; 30 (5) 820-827
5 Oh JC, Trerotola SO, Dagli M , et al. Removal of retrievable inferior vena cava filters with computed tomography findings indicating tenting or penetration of the inferior vena cava wall. J Vasc Interv Radiol 2011; 22 (1) 70-74
6 Ray Jr CE, Kaufman JA. Complications of inferior vena cava filters. Abdom Imaging 1996; 21 (4) 368-374
7 Joels CS, Sing RF, Heniford BT. Complications of inferior vena cava filters. Am Surg 2003; 69 (8) 654-659
8 Bogue CO, John PR, Connolly BL, Rea DJ, Amaral JG. Symptomatic caval penetration by a Celect inferior vena cava filter. Pediatr Radiol 2009; 39 (10) 1110-1113
9 Araki T, Ishihara C. Images in cardiovascular medicine. Retroperitoneal hematoma after inferior vena cava filter insertion. Circulation 2007; 116 (11) e345
10 Piecuch J, Wiewiora M, Nowowiejska-Wiewiora A, Szkodziński J, Polonski L. Perforation of inferior vena cava during filter placement. Vasa 2011; 40 (2) 157-162
11 Wang W, Spain J, Tam MD. Acute abdominal pain after retrievable inferior vena cava filter insertion: case report of caval perforation by an option filter. Cardiovasc Intervent Radiol 2011; 34 (4) 883-885
12 Sildiroglu O, Ozer H, Turba UC. Management of the thrombosed filter-bearing inferior vena cava. Semin Intervent Radiol 2012; 29 (1) 57-63