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Symptomatic duodenal perforation by inferior vena cava filter
Anna Pw Baptista Sincos1, Igor R Sincos1, Nicos Labropoulos1
1Department of Endovascular Surgery, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Phlebology
|September 22, 2017
Summary
Duodenal perforation from inferior vena cava filters is rare but serious. Diagnosis relies on imaging, with surgery being the common treatment, though endovascular repair is an option for high-risk patients.
Area of Science:
- Vascular Surgery
- Gastrointestinal Surgery
- Medical Device Complications
Background:
- Duodenal perforation is a rare but life-threatening complication associated with inferior vena cava (IVC) filters.
- Understanding the incidence, diagnostic methods, and treatment strategies is crucial for patient management.
Purpose of the Study:
- To determine the occurrence of duodenal perforation caused by IVC filters.
- To compare the diagnostic approaches and treatment outcomes for this rare complication.
Main Methods:
- A comprehensive literature search was conducted using MEDLINE, Web of Sciences, and LILACS databases.
- The search included articles from Malgor's 2012 review and newly published eligible studies.
Main Results:
- Upper abdominal pain is the most frequent presenting symptom.
- Radiologic studies are essential for accurate diagnosis.
- Laparotomy with filter removal and duodenal repair is the most common treatment.
- Endovascular techniques with endograft deployment present an alternative treatment option.
Conclusions:
- Duodenal perforation by IVC filters is an infrequent but significant clinical event.
- Endovascular repair should be considered for patients with high surgical risk.