Use of Wall stent to exclude a thrombosed inferior vena cava filter. 2010

Scott R Golarz, and Brad Grimsley
Baylor University Medical Center, Dallas, TX 75226-1305, USA. sgolarz@hotmail.com

The use of inferior vena cava (IVC) filters has increased dramatically over the last two decades. Thrombosis of the IVC is a potentially catastrophic complication of caval filter placement, and its reported incidence ranges 3.6-11.2%, depending on filter type. We present a 69-year-old female with a history of deep vein thrombosis of the right leg. Prior to a planned spinal operation, a Gunther Tulip filter was placed (Cook Medical, Bloomington, IN). Postoperatively, the patient developed bilateral iliofemoral thrombosis that extended into the IVC filter. Several weeks passed, and after unsuccessful attempts at recanalization in the community setting, the patient was referred to our group for treatment. After an unsuccessful attempt at balloon angioplasty, two 10 x 60mm Protégé GPS stents (EV3, Plymouth, MN) were deployed in the common femoral, external, and internal iliac veins bilaterally. After an unsuccessful attempt at retrieval, the Tulip filter was excluded from the IVC using a 16 x 60mm Wall Stent (Boston Scientific, Natick, MA). Unobstructed flow was now noted from the femoral system all the way through the superior vena cava. The patient experienced immediate relief of her symptoms.

UI MeSH Term Description Entries
D010690 Phlebography Radiographic visualization or recording of a vein after the injection of contrast medium. Venography,Phlebographies,Venographies
D011474 Prosthesis Design The plan and delineation of prostheses in general or a specific prosthesis. Design, Prosthesis,Designs, Prosthesis,Prosthesis Designs
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D014682 Vena Cava, Inferior The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs. Inferior Vena Cava,Inferior Vena Cavas,Vena Cavas, Inferior
D015607 Stents Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting. Stent
D016306 Vena Cava Filters Mechanical devices inserted in the inferior vena cava that prevent the migration of blood clots from deep venous thrombosis of the leg. Inferior Vena Cava Filters,Umbrella Filters,Filter, Inferior Vena Cava,Filters, Inferior Vena Cava,Inferior Vena Cava Filter,Cava Filter, Vena,Cava Filters, Vena,Filter, Umbrella,Filter, Vena Cava,Filters, Umbrella,Filters, Vena Cava,Umbrella Filter,Vena Cava Filter
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D020246 Venous Thrombosis The formation or presence of a blood clot (THROMBUS) within a vein. Deep Vein Thrombosis,Phlebothrombosis,Thrombosis, Deep Vein,Thrombosis, Venous,Deep Venous Thrombosis,Deep-Vein Thrombosis,Deep-Venous Thrombosis,Deep Vein Thromboses,Deep Venous Thromboses,Deep-Vein Thromboses,Deep-Venous Thromboses,Phlebothromboses,Thromboses, Deep Vein,Thromboses, Deep Venous,Thromboses, Deep-Vein,Thromboses, Deep-Venous,Thromboses, Venous,Thrombosis, Deep Venous,Thrombosis, Deep-Vein,Thrombosis, Deep-Venous,Vein Thromboses, Deep,Vein Thrombosis, Deep,Venous Thromboses,Venous Thromboses, Deep,Venous Thrombosis, Deep

Related Publications

Scott R Golarz, and Brad Grimsley
March 2012, Seminars in interventional radiology,
Scott R Golarz, and Brad Grimsley
July 2003, Journal of vascular and interventional radiology : JVIR,
Scott R Golarz, and Brad Grimsley
January 1999, Zentralblatt fur Chirurgie,
Scott R Golarz, and Brad Grimsley
January 1995, AJR. American journal of roentgenology,
Scott R Golarz, and Brad Grimsley
August 2021, Clinical case reports,
Scott R Golarz, and Brad Grimsley
March 2013, The western journal of emergency medicine,
Scott R Golarz, and Brad Grimsley
January 2004, Vascular and endovascular surgery,
Scott R Golarz, and Brad Grimsley
August 2003, The American surgeon,
Scott R Golarz, and Brad Grimsley
September 2007, RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
Scott R Golarz, and Brad Grimsley
January 2009, Annals of vascular diseases,
Copied contents to your clipboard!