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Updated: Aug 24, 2025

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Inferior vena cava perforation during percutaneous filter removal.

Adam C Hicks1, Daisy Sangroula1, Amit J Dwivedi1

  • 1University of Louisville, Louisville, KY, USA.

Vascular
|October 21, 2022
PubMed
Summary
This summary is machine-generated.

Retrieving Inferior Vena Cava (IVC) filters can be complex. Advanced techniques may cause complications, suggesting open surgery may be safer for difficult cases.

Keywords:
Inferior venacavacomplicationfilter retrievalpercutaneousvenography

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Device Retrieval

Background:

  • Inferior Vena Cava (IVC) filter retrieval can be challenging due to filter angulation, embedding, or perforation.
  • Advanced percutaneous retrieval techniques improve success rates but carry a high complication risk.

Observation:

  • A 26-year-old female experienced IVC filter malposition and perforation after attempted retrieval using loop snare and endobronchial forceps techniques.
  • These advanced endovascular methods led to filter deformity and IVC injury.

Findings:

  • Open IVC filter removal via laparotomy and cavotomy successfully retrieved a deformed filter and associated thrombus.
  • The patient experienced an uneventful recovery with no immediate or long-term complications.

Implications:

  • Advanced endovascular retrieval techniques for IVC filters can lead to severe complications such as fracture, migration, and perforation.
  • Proper filter deployment with minimal tilt is crucial to avoid retrieval difficulties.
  • For embedded or excessively tilted filters, open surgical removal should be considered over aggressive endovascular manipulation.