Successful Endovascular Removal of a Perforated Inferior Vena Cava Filter Complicated by a Large Retroperitoneal Hematoma: Pitfall of Catheter-Directed Thrombolysis

Norio Ishigami; Tomoo Nagai; Junko Arakawa; Hideki Hisadome; Hirotsugu Tabata

doi:10.1055/s-0035-1551794

Successful Endovascular Removal of a Perforated Inferior Vena Cava Filter Complicated by a Large Retroperitoneal Hematoma: Pitfall of Catheter-Directed Thrombolysis

Int J Angiol. 2016 Mar;25(1):70-4. doi: 10.1055/s-0035-1551794. Epub 2015 Dec 15.

Authors

Norio Ishigami¹, Tomoo Nagai¹, Junko Arakawa¹, Hideki Hisadome², Hirotsugu Tabata¹

Affiliations

¹ Department of Cardiology, Japan Self Defense Forces Central Hospital, Setagaya-ku, Tokyo, Japan.
² Department of Cardiology, KKR Mishuku Hospital, Meguro-ku, Japan.

Abstract

Symptomatic caval perforation is rare complication after inferior vena cava (IVC) filter insertion. A 44-year-old woman developed back pain after the placement of retrieval IVC filter during catheter-directed thrombolysis (CDT). Her computed tomography showed a large right-sided retroperitoneal hematoma. After 2 weeks, endovascular removal of the perforated filter was successfully performed without complication. Because thrombolytic agents can accelerate bleeding caused by endovascular procedures, the bleeding rate of the IVC filter deployment during CDT might be higher than expected.

Keywords: IVC filter complications; IVC wall penetration; deep vein thrombosis; endovascular procedure; thrombolysis.

Publication types

Case Reports