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Technical error during deployment leads to vena cava filter migration and massive pulmonary embolism
Nikolas I Fotiadis1, Tarun Sabharwal, Renato Dourado
1Interventional Radiology Department, Guy's and St. Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK. fotiadis.nicholas@gmail.com
Abstract:
The Günther Tulip vena cava filter is a safe, effective, well-established device for pulmonary embolism prophylaxis. We report a patient in whom there was migration of the filter to the right atrium, 2 weeks after insertion, caused by a technical error during deployment. An attempt to retrieve the filter percutaneously failed, necessitating removal at open-heart surgery. The potential causes of migration are described and the lessons learned from this unusual case are outlined.
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