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Case Reports
Excision of a permanent inferior vena cava filter with multiple vena caval perforations.
- Yannick Georg, Theresa Khalife, Faris Alomran, Julien Gaudric, Laurent Chiche, and Fabien Koskas.
- Department of Vascular Surgery, Groupe Hospitalier Pitié Salpêtrière, Paris, France. Electronic address: fabien.koskas@psl.aphp.fr.
- Ann Vasc Surg. 2014 Jan 1; 28 (1): 261.e7-9.
AbstractPerforation of an inferior vena cava filter by one the filter device hooks is a recognized possible complication of this device. We describe a case of surgical excision of a permanent inferior vena cava filter associated with multiple perforations of surrounding structures by each of the 6 hooks of the device. Structures affected include the third lumbar vertebral body, transverse mesocolon, the infrarenal aorta, the duodenum, and the psoas muscle. A thorough understanding of the filter design and adequate preoperative imaging were vital in planning the safe surgical excision of this device. Copyright © 2014 Elsevier Inc. All rights reserved.
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