TY - JOUR
T1 - Iatrogenic migration of venatech LP IVC filter to superior vena cava secondary to guidewire entrapment
T2 - Case report and review of literature
AU - Almestady, Rajaa
AU - Spain, James
AU - Bayona-Molano, Maria Del Pilar
AU - Wang, Weiping
PY - 2013/1
Y1 - 2013/1
N2 - Modern inferior vena cava (IVC) filters are generally safe devices for preventing pulmonary embolus, with fewer complications compared to earlier techniques of caval interruption. Despite continuing improvement in filter designs and insertion methods, complications still occur. The IVC filter complications resulting from iatrogenic causes are rare and include but are not limited to misplacement, filter tilting, incomplete deployment, and filter migration. We recently experienced a problem in which the Vena Tech LP filter (B. Braun, Bethlehem, Pennsylvania) migrated to the superior vena cava (SVC) immediately after successful deployment of the filter in the infrarenal venacava. The root cause analysis of this case revealed that the complication was related to blind pullout of the J-tipped guidewire following deployment of the filter in the IVC. This report highlights the potential risks of using a wire while an IVC filter is in place.
AB - Modern inferior vena cava (IVC) filters are generally safe devices for preventing pulmonary embolus, with fewer complications compared to earlier techniques of caval interruption. Despite continuing improvement in filter designs and insertion methods, complications still occur. The IVC filter complications resulting from iatrogenic causes are rare and include but are not limited to misplacement, filter tilting, incomplete deployment, and filter migration. We recently experienced a problem in which the Vena Tech LP filter (B. Braun, Bethlehem, Pennsylvania) migrated to the superior vena cava (SVC) immediately after successful deployment of the filter in the infrarenal venacava. The root cause analysis of this case revealed that the complication was related to blind pullout of the J-tipped guidewire following deployment of the filter in the IVC. This report highlights the potential risks of using a wire while an IVC filter is in place.
KW - J-tipped guidewire
KW - inferior vena cava filters
KW - migration
UR - http://www.scopus.com/inward/record.url?scp=84872568530&partnerID=8YFLogxK
U2 - 10.1177/1538574412467861
DO - 10.1177/1538574412467861
M3 - Review article
C2 - 23203598
AN - SCOPUS:84872568530
SN - 1538-5744
VL - 47
SP - 48
EP - 50
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 1
ER -