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Inferior vena cava filter fracture with strut migration on CT with volume rendering.

Pierce M Cooper1, Pierre Maldjian1, Pratik Shukla1

  • 1Department of Radiology, Rutgers New Jersey Medical School, 185 South Orange Avenue, Newark, NJ, 07103.

Radiology Case Reports
|August 25, 2021
PubMed
Summary

A fractured inferior vena cava (IVC) filter strut migrated to the right lower quadrant. Volumetric 3D computed tomography effectively visualized the fractured filter and migrated fragment, confirming its diagnostic value.

Keywords:
IVC filter fractureIVC filter integrityIVC filter migrationVolume rendered CT imagesVolumetric 3D imaging

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Area of Science:

  • Radiology
  • Medical Imaging
  • Interventional Radiology

Background:

  • Inferior vena cava (IVC) filters are devices used to prevent pulmonary embolism.
  • Filter fracture and strut migration are known complications.
  • Accurate imaging is crucial for diagnosis and management.

Observation:

  • A patient presented with a fractured IVC filter.
  • A broken strut had migrated to the right lower quadrant.
  • Computed tomography (CT) was performed for evaluation.

Findings:

  • Volumetric 3D CT imaging clearly demonstrated the fractured IVC filter.
  • The migrated strut fragment was well visualized.
  • The imaging confirmed the integrity of the filter and location of the fragment.

Implications:

  • Volumetric 3D CT is valuable for assessing IVC filter integrity.
  • This imaging technique aids in identifying migrated filter fragments.
  • Early and accurate diagnosis can guide appropriate patient management.