Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.180131
Jornal Vascular Brasileiro
Case Report

An alternative approach to treatment of inferior vena cava filter perforation

Tratamento alternativo para perfuração de veia cava inferior por filtro

Mariana Krutman; Guilherme Yazbek; Kenji Nishinari; Bruno Soriano Pignataro; Guilherme Andre Zottele Bomfim; Rafael Noronha Cavalcante; Guilherme Centofanti; Igor Yoshio Imagawa Fonseca

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Abstract

Abstract: We report a case of inferior vena cava filter perforation immediately after filter implantation, recognized intraoperatively in a patient undergoing laparotomy for resection of locally advanced ovarian cancer. We describe an alternative approach with strut resection, less invasive than filter removal, enabling the device to be maintained and bleeding to be controlled.

Keywords

deep venous thrombosis, pulmonary embolism, inferior vena cava filter

Resumo

Resumo: Relatamos um caso de perfuração de veia cava inferior imediatamente após o implante de um filtro. A complicação foi reconhecida no intraoperatório de uma laparotomia para ressecção de um câncer de ovário localmente avançado. Descrevemos uma abordagem alternativa, menos invasiva do que a remoção do filtro, consistindo na ressecção das hastes do dispositivo. Essa abordagem permitiu a manutenção do filtro e o controle efetivo do sangramento.
 

Palavras-chave

trombose venosa profunda, embolia pulmonar, filtro da veia cava inferior

References

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