IVC Filter Complications: What Would You Do?

Given the discussion circling inferior vena cava (IVC) filters as of late, I thought it's nice to inform about an unusual case I recently had regarding an 18-year-old female who recently started taking birth control pills and presented to an outside hospital with left flank pain.

During her workup, the patient was found to have long left iliofemoral thrombosis. An IVC filter (Gunther Tulip; Cook Medical) was placed and pharmacologic thrombolysis was attempted for 48 hours without satisfying results. Thus, surgical thrombectomy was done. Unfortunately, the IVC filter became displaced in the process.You can also visit http://www.bardfilterlawsuitcenter.com/bard-ivc-filter-lawsuit-lawyers.asp here to get more info on ivc filter complications. 

The patient came to our office for a second opinion and as shown in the images in this blog post, not only is their large clot burden in the IVC, the IVC filter extends beyond the confines of the IVC. What would the next step be, we questioned? The patient sustained intervention as follows.

The right neck and groin were prepped and wrapped in the usual sterile fashion. A 0.035" Bentson guidewire (Cook Medical) was passed into a pre-existing triple lumen, which was transferred over the wire. A 10 Fr 60 cm sheath (Cook Medical) was placed over the wire. A 5 Fr angled guide catheter (Terumo) was introduced over the wire and used to direct the wire through the filter and the wire was seized with a snare. The in situ snares was drawn back. Multiple efforts were made from the neck. A leg of the removed IVC filter was gripped with the snare.If you have any query related to ivc filters you may take advice from a expert ivc filter lawyer.

Simultaneously, access was taken from the right femoral vein under ultrasound guidance using a micropuncture kit. A 10 Fr sheath was placed. Over a 0.035" Bentson guidewire a reverse curve catheter was advanced and an effort was made to pull the catheter back hooking the medial legs. A Simmons 1 was used; however, we were happy using a VS 1 catheter.