Laser-assisted permanent greenfield filter removal with ileocaval stent reconstruction following filter thrombosis, a case report

Emerging literature supports removal of chronic indwelling IVC filters when they are contributing to complications for a patient and are no longer indicated. We present an interesting case of an elderly patient who had a history of DVT and underwent spinal surgery, which required cessation of his an...

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Main Authors: Sarabjit Kaur, BS, Pranav Suri, BS, William Bryan, MSRS, RRA RT(R)(VI), Charles Kitley, MD
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323006787
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author Sarabjit Kaur, BS
Pranav Suri, BS
William Bryan, MSRS, RRA RT(R)(VI)
Charles Kitley, MD
author_facet Sarabjit Kaur, BS
Pranav Suri, BS
William Bryan, MSRS, RRA RT(R)(VI)
Charles Kitley, MD
author_sort Sarabjit Kaur, BS
collection DOAJ
description Emerging literature supports removal of chronic indwelling IVC filters when they are contributing to complications for a patient and are no longer indicated. We present an interesting case of an elderly patient who had a history of DVT and underwent spinal surgery, which required cessation of his anticoagulation and placement of an IVC filter pre-operatively. Approximately 15 years later the patient presented to our institution with chronic occlusion of his IVC at the level of his filter which had never been removed, with bilateral lower extremity DVT and symptoms of phlegmasia cerulea dolens. Despite a previous unsuccessful attempt at DVT thrombectomy at an outside institution, interventional radiology was consulted, and he subsequently underwent successful laser sheath assisted removal of his 15-year-old permanent Greenfield filter with bilateral lower extremity DVT thrombectomy and venous stenting with significant improvement in his presenting symptoms. Clinical presentation, diagnostic workup, case findings, and outcomes are described.
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spelling doaj.art-0798f041b04d4e2d93c0848e85c3cfe42023-10-22T04:48:51ZengElsevierRadiology Case Reports1930-04332023-12-01181244494457Laser-assisted permanent greenfield filter removal with ileocaval stent reconstruction following filter thrombosis, a case reportSarabjit Kaur, BS0Pranav Suri, BS1William Bryan, MSRS, RRA RT(R)(VI)2Charles Kitley, MD3School of Medicine, University of Missouri Columbia, MO, 65212, USASchool of Medicine, University of Missouri Columbia, MO, 65212, USADepartment of Radiology, University of Missouri Columbia, MO, 65212, USADepartment of Radiology, University of Missouri Columbia, MO, 65212, USA; Corresponding author.Emerging literature supports removal of chronic indwelling IVC filters when they are contributing to complications for a patient and are no longer indicated. We present an interesting case of an elderly patient who had a history of DVT and underwent spinal surgery, which required cessation of his anticoagulation and placement of an IVC filter pre-operatively. Approximately 15 years later the patient presented to our institution with chronic occlusion of his IVC at the level of his filter which had never been removed, with bilateral lower extremity DVT and symptoms of phlegmasia cerulea dolens. Despite a previous unsuccessful attempt at DVT thrombectomy at an outside institution, interventional radiology was consulted, and he subsequently underwent successful laser sheath assisted removal of his 15-year-old permanent Greenfield filter with bilateral lower extremity DVT thrombectomy and venous stenting with significant improvement in his presenting symptoms. Clinical presentation, diagnostic workup, case findings, and outcomes are described.http://www.sciencedirect.com/science/article/pii/S1930043323006787Greenfield FilterIVCPermanent filterThrombosis
spellingShingle Sarabjit Kaur, BS
Pranav Suri, BS
William Bryan, MSRS, RRA RT(R)(VI)
Charles Kitley, MD
Laser-assisted permanent greenfield filter removal with ileocaval stent reconstruction following filter thrombosis, a case report
Radiology Case Reports
Greenfield Filter
IVC
Permanent filter
Thrombosis
title Laser-assisted permanent greenfield filter removal with ileocaval stent reconstruction following filter thrombosis, a case report
title_full Laser-assisted permanent greenfield filter removal with ileocaval stent reconstruction following filter thrombosis, a case report
title_fullStr Laser-assisted permanent greenfield filter removal with ileocaval stent reconstruction following filter thrombosis, a case report
title_full_unstemmed Laser-assisted permanent greenfield filter removal with ileocaval stent reconstruction following filter thrombosis, a case report
title_short Laser-assisted permanent greenfield filter removal with ileocaval stent reconstruction following filter thrombosis, a case report
title_sort laser assisted permanent greenfield filter removal with ileocaval stent reconstruction following filter thrombosis a case report
topic Greenfield Filter
IVC
Permanent filter
Thrombosis
url http://www.sciencedirect.com/science/article/pii/S1930043323006787
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