Vena cava filter ensnarement and delayed migration: an unusual series of cases.

Publication/Presentation Date

11-1-1997

Abstract

PURPOSE: To review delayed and guidewire-induced morbidity associated with vena cava filters.

METHODS: The records from the Johns Hopkins Hospital, a tertiary care referral center, of all patients who had vena cava filter complications from August 1993 through July 1996 were retrospectively reviewed.

RESULTS: Five patients had filter migration or ensnarement with a guidewire. One patient had delayed extrusion of a filter strut into the duodenum. Four patients had filters ensnared by guidewires, including one during initial filter placement and one several years after placement.

CONCLUSIONS: Delayed complications of vena cava filters should be considered whenever unusual patient signs or symptoms cannot be easily explained, even in the absence of a history of filter placement. To prevent guidewire ensnarement of filters, simple techniques should modify endovascular procedures when vena cava filters are present.

Volume

26

Issue

5

First Page

869

Last Page

874

ISSN

0741-5214

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

9372827

Department(s)

Administration and Leadership

Document Type

Article

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