Ensnarement of inferior vena cava filters with central line guide wires is an infrequent complication that has been sporadically reported. The authors present 4 patients who experienced this complication. They review the literature, make recommendations to avoid this preventable complication, and recommend what to do once the complication occurs.
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References
1.
Anderson FA, Wheeler HB, Goldberg RJ, et al: A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worchester OUT study. Arch Intern Med151:933-938, 1991.
2.
Aswad MA, Sandanger GP, Pais SO, et al: Early duplex scan evaluation of four inferior vena caval interruption devices. J Vasc Surg24:809-818, 1996.
3.
Ferris EF, McCowan TC, Carver DK, et al: Percutaneous inferior vena cava filters: Follow-up of seven designs in 320 patients. Radiology188:851-856, 1993.
4.
LaPlante JS, Contractor FM, Kiproff PM, et al: Migration of the Simon nitnol vena cava filter to the chest. Am J Roentgenol160:385-386, 1993.
5.
Gelbfish GA, Ascer E: Intracardiac and intrapulmonary Greenfield filters: A long-term follow-up. J Vasc Surg14:614-617, 1991.
6.
Kupferschmid JP, Dickson CS, Townsend RN, et al: Small bowel obstruction from an extruded Greenfield filter strut: An unusual late complication. J Vasc Surg16:113-115, 1992.
7.
Granke K, Abraham FM, McDowell DE: Vena cava filter disruption and central migration due to accidental guidewire manipulation: A case report. Ann Vasc Surg10:49-53, 1996.
8.
Dardik A, Campbell KA, Yeo CJ, et al: Vena cava filter ensnarement and delayed migration: An unusual series of cases. J Vasc Surg26:869-874, 1997.
9.
Ellis PK, Deutsch LS, Kidney DD: Interventional radiological retrieval of a guide wire entrapped in a Greenfield filter—treatment of an avoidable complication of central venous access procedure. Clin Radiol55:238-239, 2000.
10.
Marelich GP, Tharratt RS: Greenfield inferior vena cava filter dislodged during central venous catheter placement. Chest106:957-959, 1994.
11.
Loesberg A, Taylor FC, Awh MH: Dislodgement of inferior vena caval filters during blind insertion of central venous catheters. Am J Roentgenol161:637-638, 1993.
12.
Rosenblum JD, Boyle CM: Percutaneous retrieval of a vena-tech filter displaced during central line placement. Am J Roentgenol166:994-995, 1996.
13.
Uppot RN, Garcia M, Gheyi V, et al: Entanglement of guide wires by vena cava filters during central venous catheter insertion: Report of three cases and a review of the literature. Del Med J72:69-73, 2000.
14.
Amesbury S, Vargish T, Hall J: An unusual complication of central venous catheterization. Chest105:905-906, 1994.
15.
Kaufman JA, Thomas JW, Geller SC, et al: Guide wire entrapment by inferior vena caval filters: In vitro evaluation. Radiology198:7176, 1996.
16.
Morgan J, Sussman SK: “Monorail technique” for removal of entrapped exchange wire in a greenfield filter. J Intervent Radiol9:469-470, 1998.
17.
Giaturco C, Anderson JH, Wallace S: A new vena cava filter: Experimental animal evaluation. Radiology137:835-837, 1980.
18.
Teitelvaum GP, McGurrin M, Davies BL, et al: Insertion and recovery of a new retrievable vena caval filter: Work in progress. Radiology23:527-533, 1988.