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