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Excision of a permanent inferior vena cava filter with multiple vena caval perforations
Yannick Georg1, Theresa Khalife1, Faris Alomran1
1Department of Vascular Surgery, Groupe Hospitalier Pitié Salpêtrière, Paris, France.
Abstract:
Perforation of an inferior vena cava filter by one the filter device hooks is a recognized possible complication of this device. We describe a case of surgical excision of a permanent inferior vena cava filter associated with multiple perforations of surrounding structures by each of the 6 hooks of the device. Structures affected include the third lumbar vertebral body, transverse mesocolon, the infrarenal aorta, the duodenum, and the psoas muscle. A thorough understanding of the filter design and adequate preoperative imaging were vital in planning the safe surgical excision of this device.
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