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Caval Penetration with Retroperitoneal Hemorrhage Following Placement of an Inferior Vena Cava (IVC) Filter

Andy P Brown1, Michael J Miller, Tony P Smith

  • 1Department of Radiology, Duke University Medical Center, Durham, North Carolina.

Seminars in Interventional Radiology
|February 18, 2011
PubMed

Insights

Inferior vena cava (IVC) filter placement is rising. A new generation filter uniquely penetrated the IVC, causing retroperitoneal hemorrhage in an anticoagulated patient, highlighting a rare complication.

Area of Science:

  • Vascular surgery
  • Interventional radiology
  • Cardiology

Background:

  • Inferior vena cava (IVC) filter placement is increasingly common for pulmonary embolism (PE) prophylaxis.
  • Utilization is driven by trauma cases, temporary filter approval, and perceived low complication rates of new designs.

Purpose of the Study:

  • To report a unique case of IVC penetration by a new generation filter.
  • To highlight a rare but serious complication associated with IVC filter placement.

Main Methods:

  • Case report presentation.
  • Review of clinical course and imaging findings.

Main Results:

  • A new generation IVC filter uniquely penetrated the IVC wall.
  • This resulted in a significant retroperitoneal hemorrhage.
  • The patient was fully anticoagulated at the time of the event.

Conclusions:

  • IVC filter penetration is a rare complication.
  • New generation filters, despite perceived low risks, can cause severe adverse events.
  • Vigilance and careful patient selection are crucial during IVC filter placement.

Keywords:
Vena cava filtersvena cava complications

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