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Successful management of infected right iliac pseudoaneurysm caused by penetration of migrated inferior vena cava filter:A case report

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World Journal of Clinical Cases 2021年第30期9卷 9211-9217页

作者： Cheng-Xin Weng Shu-Min Wang Tie-Hao Wang Ji-Chun Zhao Ding Yuan Department of Vascular Surgery West China Hospital of Sichuan UniversityChengdu 610041Sichuan ProvinceChina

BACKGROUND Indwelling inferior vena cava(IVC)filters might cause various complications,including filter penetration,filter fracture,filter migration,and thrombosis of the *** and migration complications are common,while a caudal migrated double-basket filter with associated infected iliac pseudoaneurysm has seldom been *** SUMMARY We report a 64-year-old female admitted for sudden onset of severe right abdominal pain after IVC filter placement for 3 *** patient had a history of failed endovascular IVC filter *** tomography showed that the retrieval hook of the filter penetrated the right common iliac artery and vein,leading to right iliac artery pseudoaneurysm accompanied by right ureteral obstruction with ipsilateral hydronephrosis,and bilateral iliac veins were *** open repair was performed to remove the IVC filter,the right iliac pseudoaneurysm,and the compromised segments of the iliac veins and IVC with right common iliac artery *** aureus was isolated from the tissue *** patient was discharged on postoperative day 12 with anticoagulation therapy and antibiotic therapy after ***-month follow-up computed tomography revealed that the right common iliac artery was patent,and only mild hydronephrosis was *** An indwelling IVC filter,even‘embedded’within organized thrombus,could still cause life-threatening *** procedures remain the last resort for IVC filters with severe complications.

关键词： inferior vena cava filter Infected pseudoaneurysm Hydronephrosis filter migration Open repair Antibiotic therapy Case report

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Thrombus Propagation across an inferior vena cava filter Resulting in Fatal Pulmonary Embolism: A Case Report

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World Journal of Cardiovascular Surgery 2022年第10期12卷 229-234页

作者： Gordon Offei-Larbi Martin Nartey Tamatey Mark Mawutor Tettey Isaac Okyere Kwame Adomako National Cardiothoracic Centre Korle-Bu Teaching Hospital Accra Ghana Department of Surgery Kwame Nkrumah University of Science and Technology Kumasi Ghana

inferior vena cava (IVC) filters have since been implanted in the 1970s. The aim of implantation is to prevent the occurrence of fatal pulmonary embolism (PE). However, fatal pulmonary embolisms have been occurring after filter insertion. The mechanism is that either a thrombus or an embolus was already located cranial to the site of deployment of the filter within the inferior vena cava. And so after the filter implantation significant embolism can still occur. We present the case of a 62-year-old woman who had an IVC filter but died two weeks later from pulmonary embolism, through an unusual mechanism. The patient had a fracture of the left tibia, had open reduction and internal fixation developed pulmonary embolism secondary to deep vein thrombosis of the left lower limb. Anticoagulation was started, an IVC filter was inserted and she was discharged home with a therapeutic INR. However, she passed away two weeks later from pulmonary embolism, through the unusual mechanism of thrombus propagation across the IVC filter. The clinical significance of this article is to draw clinicians’ attention to the existence of another mechanism of fatal pulmonary embolism after an IVC filter insertion. The thrombus can propagate across the IVC filter leading to fatal pulmonary embolism.

关键词： inferior vena cava filter Thrombus Propagation Fatal Pulmonary Embolism

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Clinical outcomes of Angio Jet pharmacomechanical thrombectomy versus catheter-directed thrombolysis for the treatment of filter-related caval thrombosis

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World Journal of Clinical Cases 2023年第3期11卷 598-609页

作者： Jin-Yong Li Jian-Long Liu Xuan Tian Wei Jia Peng Jiang Zhi-Yuan Cheng Yun-Xin Zhang Xiao Liu Mi Zhou Department of Vascular Surgery Beijing Jishuitan HospitalBeijing 100035China

BACKGROUND The inferior vena cava filter is utilized worldwide to intercept thrombi and to reduce the risk of fatal pulmonary embolism(PE).However,filter-related thrombosis is a complication of filter *** methods such as AngioJet rheolytic thrombectomy(ART)and catheter-directed thrombolysis(CDT)can treat filter-related caval thrombosis,but the clinical outcomes of both treatment modalities have not been *** To compare the treatment outcomes of AngioJet rheolytic thrombectomy vs catheter-directed thrombolysis in patients with filter-related caval *** In this single-center retrospective study,65 patients(34 males and 31 females;mean age:59.0±13.43 years)with intrafilter and inferior vena cava thrombosis were enrolled between January 2021 and August *** patients were assigned to either the AngioJet group(n=44)or the CDT group(n=21).Clinical data and imaging information were *** measures included thrombus clearance rate,periprocedural complications,urokinase dosage,incidence of PE,limb circumference difference,length of stay,and filter removal *** Technical success rates were 100%in the AngioJet and CDT *** the AngioJet group,grade II and grade III thrombus clearance was achieved in 26(59.09%)and 14(31.82%)patients,*** the CDT group,grade II and grade III thrombus clearance was accomplished in 11(52.38%)patients and 8(38.10%)patients,respectively(P>0.05).The peridiameter difference of the thigh was significantly reduced in patients from both groups after treatment(P<0.05).The median dosage of urokinase was 0.08(0.02,0.25)million U in the AngioJet group and 1.50(1.17,1.83)million U in the CDT group(P<0.05).Minor bleeding was shown in 4(19.05%)patients in the CDT group,and when it was compared with that in the AngioJet group,the difference was statistically significant(P<0.05).No major bleeding ***(15.91%)patients in the AngioJet group had hemoglobinuria and 1(4.7

关键词： inferior vena cava filter Thrombosis AngioJet rheolytic thrombectomy Catheter-directed thrombolysis Clinical outcome

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High inferior vena cava Thrombosis in a 16-year-old Postpartum Patient:A Case Report

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2012年第1期32卷 149-150页

作者：魏勇欧阳平杨婉花 Department of Cardiovasology Songjiang Branch to Shanghai First People's HospitalShanghai Jiao Tong University Department of General Intensive Care Unit Songjiang Branch to Shanghai First People's HospitalShanghai Jiao Tong University

Postpartum inferior vena cava (IVC) thrombosis is a rare,but potentially life-threatening *** we reported one case of the youngest woman to date who presented with massive IVC thrombus extending from deep veins of the... 详细信息

关键词： postpartum thrombosis inferior vena cava filter pulmonary embolism

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