Successful multi-step catheter intervention for thrombotic inferior vena cava filter retrieval

Hiroya Hayashi; Akihiro Tsuji; Ryotaro Asano; Nao Konagai; Jin Ueda; Shigefumi Fukui; Takeshi Ogo; Shigeki Miyata; Satoshi Yasuda

doi:10.1016/j.jccase.2019.07.006

Successful multi-step catheter intervention for thrombotic inferior vena cava filter retrieval

J Cardiol Cases. 2019 Aug 10;20(4):142-146. doi: 10.1016/j.jccase.2019.07.006. eCollection 2019 Oct.

Authors

Hiroya Hayashi¹, Akihiro Tsuji¹, Ryotaro Asano¹, Nao Konagai¹, Jin Ueda¹, Shigefumi Fukui¹, Takeshi Ogo¹, Shigeki Miyata², Satoshi Yasuda¹

Affiliations

¹ Department of Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
² Department of Clinical Laboratory Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.

Abstract

A 45-year-old man, who was implanted with an inferior vena cava (IVC) filter in his infrarenal IVC, had a complication of deep vein thrombosis (DVT) propagation from the IVC, beyond the IVC filter, to the right calf and left external iliac veins. The entire IVC filter was covered with a massive thrombus. We first decided to retrieve the IVC filter itself, which was suspected of causing metallic allergy. The thrombotic IVC filter was successfully retrieved using multi-step catheter intervention. To our knowledge, this is the first case report to describe successful multi-step catheter intervention for retrieval of an IVC filter covered with a massive thrombus. <Learning objectives: Inferior vena cava (IVC) filter thrombosis is one of the most serious IVC filter complications. It is difficult to retrieve the IVC filter covered with a massive thrombus. Multi-step catheter intervention technique may be useful to retrieve an IVC filter with thrombotic occlusion.>.

Keywords: Inferior vena cava filter; Inferior vena cava thrombosis; Multi-step catheter intervention; Thrombolysis.

Publication types

Case Reports