Inferior vena cava filter removal – Hope for the best and prepare for the worst: An anesthesiology perspective
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Date
2019-07
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
A patient presented to our institution for an elective removal of an inferior vena cava (IVC) filter under local anesthesia. Once removed, it was noticed that the filter had a missing secondary leg. The patient had a chest CT done which showed a hyper-attenuating structure in the region of the tricuspid valve highly suspicious for the fractured strut of the filter. Upon these findings, the patient was taken once again to the surgical suite for an endovascular retrieval of the strut. For fear of a possible cardiac injury and a potential need for a sternotomy, the patient received general anesthesia and was placed with appropriate IV access and full cardiac monitors. The strut was removed successfully without any complications. Despite the relative benign nature of this endovascular procedure, one should always be prepared for an appropriate resuscitation in case of an occurrence of a surgical complication.
Description
Keywords
Endovascular retrieval, inferior vena cava filter, strut
Citation
Poliwoda Salomon, Suthar Rekhaben, Suraci Nicholas, Garcia Pedro, Behrens Vicente, Goldman Howard. Inferior vena cava filter removal – Hope for the best and prepare for the worst: An anesthesiology perspective. Annals of Cardiac Anaesthesia. 2019 Jul; 22(3): 337-339