Back to Search
Start Over
Successful inferior vena cava filter removal using pacemaker lead extraction methods
- Source :
- Journal of Cardiology Cases. 19:129-132
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Inferior vena cava (IVC) filters are often used to treat deep vein thrombosis. IVC filters may become difficult to extract because of adhesion around the device, and those permanently left inside the patient may cause injurious complications. We describe a novel IVC filter extraction technique using pacemaker lead extraction tools. A 26-year-old woman, diagnosed with deep vein thrombosis by computed tomography, received an IVC filter (Gunther Tulip, Cook Medical, Bloomington, IN, USA) implantation for prevention of pulmonary thromboembolism. Eleven weeks later, extraction of the IVC filter by a manual method and snaring technique was unsuccessful because of adhesion to the blood vessel wall. The patient was referred to our hospital for filter removal using pacemaker lead extraction tools. Extraction was performed in an operation room under general anesthesia in the presence of a cardiovascular surgeon, to manage inadvertent perforation. Part of the adhered tissue around the four limbs of the filter was dissected using a 12 Fr laser sheath; protruding anchors were carefully dissected with a telescoping mechanical sheath using a counter-traction technique. Her postoperative course was uneventful, and she was discharged without complications. A sophisticated removal procedure with pacemaker lead extraction tools can be used to remove problematic IVC filters.
- Subjects :
- medicine.medical_specialty
business.industry
Removal procedure
Deep vein
Perforation (oil well)
Inferior vena cava filter
Adhesion (medicine)
030204 cardiovascular system & hematology
medicine.disease
Thrombosis
Inferior vena cava
Article
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
medicine.vein
Internal medicine
cardiovascular system
medicine
Cardiology
030212 general & internal medicine
Cardiology and Cardiovascular Medicine
business
Lead extraction
Subjects
Details
- ISSN :
- 18785409
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiology Cases
- Accession number :
- edsair.doi.dedup.....584004ac4c309c82573b8478bb20099d