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Case Reports
. 2017 Jun;50(3):224-227.
doi: 10.5090/kjtcs.2017.50.3.224. Epub 2017 Jun 5.

Extravascular Migration of a Fractured Inferior Vena Cava Filter Strut

Jung Hyeon Lim  1 , Weon Yong Lee  1 , Yong Joon Ra  1 , Jae Han Jeong  2 , Bong Suk Park  1 , Ho Hyun Ko  1
Affiliations
Case Reports

Extravascular Migration of a Fractured Inferior Vena Cava Filter Strut

Jung Hyeon Lim et al. Korean J Thorac Cardiovasc Surg. 2017 Jun.

Abstract

A 20-year-old man presented with a femur fracture and epidural hemorrhage (EDH) following a fall. One month after fracture surgery, swelling developed in both legs, and he was diagnosed as having a deep-vein thrombosis and pulmonary embolism. A retrievable inferior vena cava filter (IVCF) was inserted, because EDH is a contraindication to anticoagulants. Four months later, he complained of abdominal pain, and a computed tomography scan showed a fractured IVCF strut. After percutaneous removal failed 3 times, the IVCF was surgically removed by orthopedists using a portable image intensifier without cardiopulmonary bypass.

Keywords: Fracture; Migration; Vena cava filters.

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Conflict of interest statement

Conflict of interest No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Simple radiologic image after percutaneous inferior vena cava filter installation. Intact inferior vena cava filter is identified.
Fig. 2
Fig. 2
Simple radiologic image for percutaneous inferior vena cava filter removal. Fractured strut is identified.
Fig. 3
Fig. 3
Removed inferior vena cava filter and fractured strut.
See this image and copyright information in PMC

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