We report a patient who received a retrievable G2 filter and developed inferior vena cava perforations in multiple locations, including penetration of one of the prongs inside the aortic lumen. Furthermore, we conducted an extensive literature review of similar cases to describe the clinical presentation, aortic pathology, radiologic findings, treatment, and outcomes related to this complication.
JoelsCSSingRFHenifordBT.Complications of inferior vena cava filters. Am Surg. 2003;69(8):654–659.
2.
OlivaVLPerreaultPGirouxMFBouchardLTherasseESoulezG.Recovery G2 inferior vena cava filter: technical success and safety of retrieval. J Vasc Interv Radiol. 2008;19(6):884–889.
3.
McKenzieSGibbsHLeggettD. An Australian experience of retrievable inferior vena cava filters in patients with increased risk of thromboembolic disease. Int Angiol. 2010;29(1):53–57.
4.
BinkertCADroozATCaridiJG. Technical success and safety of retrieval of the G2 filter in a prospective, multicenter study. J Vasc Interv Radiol. 2009;20(11):1449–1453.
RozinLPerperJA.Spontaneous fatal perforation of aorta and vena cava by Mobin-Uddin umbrella. Am J Forensic Med Pathol. 1989;10(2):149–151.
8.
KimDPorterDHSiegelJBSimonM.Perforation of the inferior vena cava with aortic and vertebral penetration by a suprarenal Greenfield filter. Radiology. 1989;172(3):721–723.
9.
AngeliEPaesanoPLZanelloADel MaschioA.Perforation of the vena cava with aortic penetration by a Greenfield filter: diagnostic ability of ultrasonography. Radiol Med. 1990;80(6):929–931.
10.
KurganANunneleeJDAuerAI.Penetration of the wall of an abdominal aortic aneurysm by a Greenfield filter prong: a late complication. J Vasc Surg. 1993;18(2):303–306.
11.
DabbaghAChakféNKretzJG. Late complication of a Greenfield filter associating caudal migration and perforation of the abdominal aorta by a ruptured strut. J Vasc Surg. 1995;22(2):182–187.
12.
ChintalapudiUBGutierrezOHAzodoMV.Greenfield filter caval perforation causing an aortic mural thrombus and femoral artery occlusion. Cathet Cardiovasc Diagn. 1997;41(1):53–55.
13.
JorgerUAlbrechtDBreulingBWinterUJSabinGU.Chronic right heart failure after implantation of a cava filter. Dtsch Med Wochenschr. 1997;122(46):1415–1418.
14.
CampbellJJCalcagnoD.Aortic pseudoaneurysm from aortic penetration with a bird’s nest vena cava filter. J Vasc Surg. 2003;38(3):596–599.
15.
PuttermanDNimanDCohenG.Aortic pseudoaneurysm after penetration by a Simon nitinol inferior vena cava filter. J Vasc Interv Radiol. 2005;16(4):535–538.
16.
MedinaCRIndesJSmithC.Endovascular treatment of an abdominal aortic pseudoaneurysm as a late complication of inferior vena cava filter placement. J Vasc Surg. 2006;43(6):1278–1282.
17.
VerouxMTallaritaTPennisiMVerouxP.Late complication from a retrievable inferior vena cava filter with associated caval, aortic, and duodenal perforation: a case report. J Vasc Surg. 2008;48(1):223–225.
18.
GuptaPLopezJAGholeVRiceGDKetkarM.Aortic and vertebral penetration by a G2 inferior vena cava filter: report of a case. J Vasc Interv Radiol. 2009;20(6):829–832.
19.
DecoususHLeizoroviczAParentF. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. N Engl J Med. 1998;338(7):409–415.
20.
StarokMSCommonAA.Follow-up after insertion of Bird’s Nest inferior vena caval filters. Can Assoc Radiol J. 1996;47(3):189–194.
21.
McCowanTCFerrisEJCarverDKMolpusWM.Complications of the nitinol vena caval filter. J Vasc Interv Radiol. 1992;3(2):401–408.
22.
ObmannMAGrayJLSheldonDGFranklinDP.Duodenal perforation and vertebral body erosion by a Greenfield filter. J Vasc Surg. 2010;51(6):1528.
StaceyCSManhireARRoseDHBishopMC.Bird’s nest filter causing symptomatic hydronephrosis following transmural penetration of the inferior vena cava. Cardiovasc Intervent Radiol. 2004;27(1):61–63.
25.
FerrisEJMcCowanTCCarverDK. Percutaneous inferior vena cava filters: follow up of seven designs in 320 patients. Radiology. 1993;188(3):851–856.
26.
LynchFCKekulawelaS.Removal of the G2 filter: differences between implantation times greater and less than 180 days. J Vasc Interv Radiol. 2009;20(9):1200–1209.
27.
StreiffMB.Vena cava filters: a comprehensive review. Blood. 2000;95(12):3669–3677.