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Related Experiment Videos

[Migration of the Kimray-Greenfield filter when inserting it]

F Lemoigne, H Lambert, J Jourdan

    Journal De Chirurgie
    |June 1, 1982
    PubMed
    Summary

    A Kimray-Greenfield filter migrated to the right ventricle due to a blood clot. This case highlights the need for increased precautions during filter insertion, especially in patients with pulmonary thromboembolism.

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    Area of Science:

    • Vascular surgery
    • Interventional radiology
    • Cardiology

    Background:

    • Inferior vena cava (IVC) filters are used to prevent pulmonary embolism.
    • Filter migration is a rare but serious complication.
    • Pulmonary thromboembolism is often associated with hypercoagulable states.

    Observation:

    • A case report details the migration of a Kimray-Greenfield filter to the right ventricle immediately after deployment in the IVC.
    • The filter's delayed deployment was attributed to entrapment within a coagulum in the guiding sheath.

    Findings:

    • Filter migration can occur due to intra-procedural coagulum formation.
    • Hypercoagulability, a risk factor for pulmonary thromboembolism, may contribute to coagulum formation during filter placement.

    Implications:

    • Increased vigilance and precautions are necessary during IVC filter insertion, particularly in patients with hypercoagulability.
    • This case underscores the importance of careful technique to minimize the risk of filter migration and associated complications.
    • Further research into preventative strategies for filter migration in high-risk patients may be warranted.

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