Transvenous placement of inferior vena cava (IVC) filters has become commonplace in selected patients with deep venous thrombosis (DVT) and pulmonary embolism (PE). IVC filters have been shown to have excellent therapeutic efficacy and low complication rates. Penetration of the IVC by filter hooks or struts has been reported and commonly noted to be inconsequential We report a laceration of a lumbar artery by a stainless steel Greenfield (SSG) filter strut that resulted in a near fatal hemorrhage, and review the world literature on caval perforation by IVC filters.
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Woodward, E.B., Faber, A., Wagner, W.H. et al. Delayed retroperitoneal arterial hemorrhage after inferior vena cava (IVC) filter insertion: Case report and literature review of caval perforations by IVC filters. Annals of Vascular Surgery 16, 193–196 (2002). https://doi.org/10.1007/s10016-001-0150-4
- Inferior Vena Cava
- Inferior Vena Cava Filter
- Inferior Vena Cava Filter Placement
- Inferior Vena Cava Wall
- Greenfield Filter