Skip to main content
SpringerLink
Log in

Acute Abdominal Pain After Retrievable Inferior Vena Cava Filter Insertion: Case Report of Caval Perforation by an Option Filter

  • Letter to the Editor
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Symptomatic caval injury is rare after inferior vena cava (IVC) filter insertion. A 39-year-old woman developed acute abdominal pain after uneventful placement of a retrievable Option IVC Filter (Angiotech Pharmaceuticals, Vancouver, British Columbia, Canada). Two days after placement, computed tomography showed a right-sided retroperitoneal hematoma, and three-dimensional C-arm rotational venography confirmed limb penetration beyond the caval wall. This is the first report of this complication despite two recent studies highlighting the safety profile of this relatively new filter.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Bogue CO, John PR, Connolly BL et al (2009) Symptomatic caval penetration by a Celect inferior vena cava filter. Pediatr Radiol 39(10):1110–1113

    Article  PubMed  Google Scholar 

  2. Bochenek KM, Aruny JE, Tal MG (2003) Right atrial migration and percutaneous retrieval of a Gunther Tulip inferior vena cava filter. J Vasc Interv Radiol 14(9 Pt 1):1207–1209

    PubMed  Google Scholar 

  3. Haddadian B, Shaikh F, Djelmami-Hani M et al (2008) Sudden cardiac death caused by migration of a TrapEase inferior vena cava filter: case report and review of the literature. Clin Cardiol 31(2):84–87

    Article  PubMed  Google Scholar 

  4. Gupta P, Lopez JA, Ghole V et al (2009) Aortic and vertebral penetration by a G2 inferior vena cava filter: report of a case. J Vasc Interv Radiol 20(6):829–832

    Article  PubMed  Google Scholar 

  5. Savastano S, Mario B, Dall’acqua J et al (2010) A right common iliac artery pseudoaneurysm with an iliac-caval arteriovenous fistula: a rare complication of the recovery vena cava filter. Cardiovasc Intervent Radiol 33(3):667–669

    Article  Google Scholar 

  6. Putterman D, Niman D, Cohen G (2005) Aortic pseudoaneurysm after penetration by a Simon nitinol inferior vena cava filter. J Vasc Interv Radiol 4:535–538

    Google Scholar 

  7. Ebner AA, Kar M, Yim DB et al (2008) Initial human experience with the Option™ vena cava filter. J Vasc Interv Radiol 19(2 Suppl):S109–S110 (abstract no 294)

    Article  Google Scholar 

  8. Johnson MS, Nemcek AA Jr, Benenati JF et al (2010) The safety and effectiveness of the retrievable option inferior vena cava filter: a United States prospective multicenter clinical study. J Vasc Interv Radiol 21(8):1173–1184

    Article  PubMed  Google Scholar 

  9. Proctor MC, Greenfield LJ, Cho KJ et al (1998) Assessment of apparent vena caval penetration by the Greenfield filter. J Endovasc Surg 5(3):251–258

    Article  PubMed  CAS  Google Scholar 

  10. Poletti PA, Becker CD, Prina L et al (1998) Long-term results of the Simon nitinol inferior vena cava filter. Eur Radiol 8(2):289–294

    Article  PubMed  CAS  Google Scholar 

  11. Lynch FC, Kekulawela S (2009) Removal of the G2 filter: differences between implantation times greater and less than 180 days. J Vasc Interv Radiol 20(9):1200–1209

    Article  PubMed  Google Scholar 

  12. Woodward EB, Farber A, Wagner WH et al (2002) Delayed retroperitoneal arterial hemorrhage after inferior vena cava (IVC) filter insertion: case report and literature review of caval perforations by IVC filters. Ann Vasc Surg 16(2):193–196

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors have no conflict of interest.

Author information

Authors and Affiliations

  1. Section of Interventional Radiology, Imaging Institute, Cleveland Clinic, Cleveland, OH, 44195, USA

    Weiping Wang & James Spain

  2. Department of Interventional Radiology, Norfolk and Norwich University Hospital, Norwich, NR4 7UB, UK

    Matthew D. B. S. Tam

Authors
  1. Weiping Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. James Spain
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Matthew D. B. S. Tam
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Weiping Wang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wang, W., Spain, J. & Tam, M.D.B.S. Acute Abdominal Pain After Retrievable Inferior Vena Cava Filter Insertion: Case Report of Caval Perforation by an Option Filter. Cardiovasc Intervent Radiol 34, 883–885 (2011). https://doi.org/10.1007/s00270-010-0080-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-010-0080-z

Keywords

Search

Navigation