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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
1   Department of Cardiology, Japan Self Defense Forces Central Hospital, Setagaya-ku, Tokyo, Japan
,
Tomoo Nagai
1   Department of Cardiology, Japan Self Defense Forces Central Hospital, Setagaya-ku, Tokyo, Japan
,
Junko Arakawa
1   Department of Cardiology, Japan Self Defense Forces Central Hospital, Setagaya-ku, Tokyo, Japan
,
Hideki Hisadome
2   Department of Cardiology, KKR Mishuku Hospital, Meguro-ku, Japan
,
Hirotsugu Tabata
1   Department of Cardiology, Japan Self Defense Forces Central Hospital, Setagaya-ku, Tokyo, Japan
› Author Affiliations
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Publication History

Publication Date:
15 December 2015 (online)

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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
 

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