Endovascular management of inferior vena cava filter thrombotic occlusion

被引:8
作者
Branco, Bernardino C. [1 ]
Montero-Baker, Miguel F. [1 ]
Espinoza, Eduardo [2 ]
Gamero, Maria [3 ]
Zea-Vera, Rodrigo [4 ]
Labropoulos, Nicos [5 ]
Leon, Luis R., Jr. [6 ,7 ]
机构
[1] Baylor Coll Med, Michael E DeBakey Dept Surg, Div Vasc Surg & Endovasc Therapy, Houston, TX 77030 USA
[2] Univ Arizona, Dept Surg, Tucson, AZ USA
[3] UPCH, Lima, Peru
[4] Texas Childrens Hosp, Baylor Coll Med, Dept Surg, Div Congenital Heart Surg, Houston, TX 77030 USA
[5] Stonybrook Med Ctr, Div Vasc & Endovasc Surg, Long Isl City, NY USA
[6] Univ Arizona, Div Vasc & Endovasc Surg, Tucson, AZ USA
[7] Tucson Med Ctr, Tucson, AZ USA
关键词
Inferior vena cava; filter thrombosis; occlusion; management; endovascular; outcomes; VASC INTERV RADIOL; REPORTING STANDARDS; PULMONARY-EMBOLISM; COMPLICATIONS; THROMBOLYSIS; PLACEMENT;
D O I
10.1177/1708538118761398
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Objective Inferior vena cava occlusion is a potentially life-threatening complication related to caval filters. We present our experience with filter-induced inferior vena cava occlusion in order to assess the feasibility, safety, and effectiveness of endovascular management. Methods A retrospective review of all patients undergoing inferior vena cava filter placement over a 60-month study period was performed. From this cohort, a total of 10 cases of inferior vena cava occlusion after filter placement were identified. Demographics, clinical data, procedures, and outcomes were extracted. Patients were followed to the last clinic visit or until they died. Results One-hundred eighty filters were placed by our group practice during the study period. Of those, a total of 10 patients were identified. Overall, there were 7 males; the mean age was 57.1 years (25-78 years). The median time between inferior vena cava filter placement and filter occlusion was 105 days (range 5-4745 days). All patients were clinically symptomatic at the time of their presentation. Nine out of 10 patients were successfully managed endovascularly. Trellis-8 thrombectomy was the most common endovascular strategy performed (n=9). Four patients had balloon angioplasty, two of those with stent placement for chronically occluded inferior vena cava/iliac veins. No thromboembolic complications developed during a median follow-up period of 233 days (range 4-1083 days). Conclusions Endovascular management of inferior vena cava occlusion is feasible, safe, and effective in decreasing thrombus burden in the presence of an inferior vena cava filter. Further studies evaluating long-term inferior vena cava patency and optimal surveillance regimen after endovascular management of filter-related inferior vena cava occlusion are warranted.
引用
收藏
页码:483 / 489
页数:7
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