The vascular wall injuries of vena cava inferior and surrounding organs by structural elements of vena cava filters in the late post-implantation period
https://doi.org/10.21886/2219-8075-2018-9-4-42-48
Abstract
Objective: to study the frequency of vena cava inferior (VCI) injuries by the elements of the modern structures vena cava flters (VCF) and the penetration into surrounding organs and tissues, which revealed during the open surgical interventions for different complications due to the presence of a fltering device in the late post-implantation period.
Material and methods: the study had included 31 patient of different age groups, operated for the period from 2008 to 2017 with late complications of implantation of VCF.
Results: penetration of structural elements of VCF beyond the limits of VCI was revealed in 20 patients, and 9 of them — in surrounding organs and main vessels. Te age of this group of patients was from 20 to 58 years. Te length of the fltering device in the VCI was from one month to 18 years (Me - 14.5 months). In 95 % of cases, this was the conical models VCF and their parts penetrated the paracaval space. In 5 patients, the elements of the flter device penetrated into the duodenum, 2 in the gonadal veins, and two observations - into the aortic wall and into the liver tissue.
Conclusions: damage vascular wall of VCI with elements of the VCF and their penetration into the surrounding organs and tissues in the distant post implantation period is a common complication, in the prevailing part of the observations caused by the implantation of the conical structure VCF.
About the Authors
A. I. Kirienko
Pirogov Russian National Research Medical University, Moscow
Russian Federation
Alexander I. Kirienko, MD, Academician of the Russian
Academy of Sciences, Professor of the Department of Faculty
Surgery № 1
Russian Federation
Alexander I. Kirienko, MD, Academician of the Russian
Academy of Sciences, Professor of the Department of Faculty
Surgery № 1
V. V. Andriyashkin
Pirogov Russian National Research Medical University, Moscow
Russian Federation
Vyacheslav V. Andriyashkin, MD, Professor of the
Department of Faculty Surgery № 1
Russian Federation
Vyacheslav V. Andriyashkin, MD, Professor of the
Department of Faculty Surgery № 1
V. V. Ivanov
Pirogov Russian National Research Medical University, Moscow
Russian Federation
Vladimir V. Ivanov, Assistant of the Department of Faculty
Surgery № 1
Russian Federation
Vladimir V. Ivanov, Assistant of the Department of Faculty
Surgery № 1
References
1. Bokeria LA, Alekyan BG X-ray endovascular diagnostics and treatment of heart and vascular diseases in the Russian Federation. A.N. Bakulev RAMS. 2016;(3):135-144. (in Russ.)
2. Uberoi R, Tapping CR, Chalmers N, Allgar V. British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry. Cardiovascular and interventional radiology. 2013; 36(6):1548-1561. DOI: 10.1007 / s00270-013-0606-2
3. Smouse B, Johar A. Is Market Growth of Vena Cava Filters Justifed? A review of indications, use, and market analysis. Endovascular Today. 2010; (2):74-77
4. Available at: https://wayback.archive-it.org/7993/20161022180008/ http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm221676. html (the link is active on 10/05/2018).
5. Kapranov SA, Burov VP, Olmesova A.Ya. Application of Cava-flter «Herringbone» for endovascular prevention of thromboembolism of the pulmonary artery. Annals of surgery. 2014; (4):19-24. (in Russ.)
6. Meisner RJ, Labropoulos N, Gasparis AP, Lampl J, Xu M, Tassiopoulos AK. Review of indications and practices of vena. Vascular and Endovascular Surgery. 2012;46 (1): 21-25. DOI: 10.1177 / 1538574411422274
7. American College of Radiology. Available at: https://www.acr.org/-/media/ACR/Files/Practice-Parameters/ivcfliterplacement.pdf?la=en (link active on 13/09/2018).
8. Irvin GL 3rd. Duodenal perforation with a vena caval umbrella. Te American Surgeon. 1972; 38 (11):635-637.
9. Malgor RD, Labropoulos N. A systematic review of symptomatic duodenal perforation by inferior vena cava flters. Journal of Vascular Surgery. 2012; 55 (3): 856-861. DOI 10.1016 / j.jvs.2011.09.082
10. Jia Z, Wu A, Tam M, Spain J, McKinney JM, Wang W. Caval Penetration by Inferior Vena Cava Filters: A Systematic Literature Review of Clinical Signifcance and Management. Circulation. 2015; 132(10):944-952. DOI: 10.1161/circulationaha.115.016468
11. Zhou D, Moon E, Bullen J, Sands M, Levitin A, Wang W. Penetration of Celect inferior vena cava flters: retrospective review of CT scans in 265 patients. AJR. American journal of roentgenology. 2014; 202 (3):643-647. DOI: 10.2214 /ajr.13.11097.
12. Putterman D, Niman D, Cohen G. Aortic pseudoaneurysm afer penetration by a Simon nitinol inferior vena cava flter. Journal of Vascular and Interventional Radiology. 2005; 16 (4):535-538. DOI: 10.1097 / 01.rvi.0000153440.02616.f8
13. Chauhan Y, Al Jabbari O, Abu Saleh WK, Loh T, Ali I, Lumsden A. Open Removal of Penetrating Inferior Vena Cava Filter with Repair of Secondary Aortic Dissection: Case Report. Annals of Vascular Surgery. 2016;32:130.e9-130e12. DOI: 10.1016 / j.avsg.2015.10.033
14. Yeung LY, Hastings GS, Alexander JQ. Endovascular retrieval of inferior vena cava flter, penetrating into aorta: an unusual presentation of abdominal pain. Vascular and Endovascular Surgery. 2010; 44 (8): 683-686. DOI: 10.1177 /1538574410377020
15. Zelivianskaia A, Boddu P, Samee M. Chronic Abdominal Pain from Inferior Vena Cava Filter Strut Perforation: A Case Report. Te American Journal of Medicine. 2016; 129 (3): e5-e7. DOI: 10.1016 / j.amjmed.2015.10.038
16. Tsekouras N, Whalen RC, Comerota AJ. Lumbar artery pseudoaneurysm in a patient with inferior vena cava flter and history of strenuous physical exercise. Journal of Vascular Surgery. 2015; 61 (3): 796-799. DOI: 10.1016 /j.jvs.2013.09.057
17. Skeik N, McEachen JC, Stockland AH, Wennberg PW, Shepherd RF, Shields RC, Andrews JC. Lumbar artery pseudoaneurysm caused by a Gunther Tulip inferior vena cava flter. Vascular and Endovascular Surgery. 2011; 4(58): 756-760. DOI: 10.1177 / 1538574411419373
18. Amole AO, Kathuria MK, Ozkan OS, Gill AS, Ozkan EO. Lumbar artery laceration with retroperitoneal hematoma afer placement of a G-2 inferior vena cava flter. CardioVascular and Interventional Radiology. 2008; 31(6): 1257-1259. DOI: 10.1007 / s00270-008-9365-x
19. Saleh Y, AlMaghraby A, Haggag A, Hammad B. An inferior vena cava flter causing perforation with all six legs. Eur Heart J. 2016; 37(2): 163. DOI: 10.1093 / eurheartj / ehv267
20. Durack JC, Westphalen AC, Kekulawela S, Bhanu SB, Avrin DE, Gordon RL, Kerlan RK. Perforation of the IVC: rule rather than exception for longer indwelling times for the Günther Tulip and Celect retrievable flters. CardioVascular and Interventional Radiology. 2012; 35(2): 299-308. DOI: 10.1007 / s00270-011-0151-9
21. Laborda A, Lostale F, Rodriguez JB, Bielsa MA, Martinez MA, Serrano C, Fernandez R, De Gregorio MA. Laparoscopic demonstration of vena cava wall penetration by inferior vena cava flters in an ovine model. Journal of Vascular and Interventional Radiology. 2011; 22(6): 851-856. DOI: 10.1016/ j.jvir.2010.12.042
22. Mc Loney ED, Krishnasamy VP, Castle JC, Yang X, Guy G. Complications of Celect, Günther tulip, and Greenfeld inferior vena cava flters on CT follow-up: a single-institution experience. Journal of Vascular and Interventional Radiology. 2013; 24(11): 1723-1729. DOI: 10.1016 / j.jvir.2013.07.023
23. Ho KM, Tan JA, Burrell M, Rao S, Misur P. Venous thrombotic, thromboembolic, and mechanical complications afer retrievable inferior vena cava flters for major trauma. British Journal of Anesthesia. 2015; 114(1): 63-69. DOI:10.1093 / bja / aeu195
24. Deso SE, Idakoji IA, Kuo WT. Evidence-Based Evaluation of Inferior Vena Cava Filter Complications Based on Filter Type. Seminars in Interventional Radiology. 2016; 33(2): 93-100. DOI: 10.1055 / s-0036-1583208
25. Laborda A, Lostale F, Rodriguez JB, Bielsa MA, Martinez MA, Serrano C, Fernandez R, De Gregorio MA. Laparoscopic demonstration of vena cava wall penetration by inferior vena cava flters in an ovine model. Journal of Vascular and Interventional Radiology. 2011; 22 (6): 851-856. DOI: 10.1016/ j.jvir.2010.12.042
26. Starok MS, Common AA. Follow-up afer insertion of Bird’s Nest inferior vena caval flters. Canadian Association of Radiologists Journal. 1996; 47(3): 189-194.
27. Kirienko AI, Andriyashkin VV, Kolosov Yu.N. Extraperitoneal removal of the cava flter from the inferior vena cava. Phlebology. 2012; 6 (4): 55-57.
28. Reed NR, Gloviczki P, Stockland AH, McBane RD. Open surgical removal of a tilted and dislodged inferior vena cava flter through a lumbar branch without cavotomy. Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2013;1(3): 304-308. DOI: 10.1016 / j.jvsv.2012.10.058
29. Benrashid E, Adkar SS, Bennett KM, Zani S, Cox MW. Total laparoscopic retrieval of inferior vena cava flter. SAGE Open Medical Case Reports. 2015; 3. - 2050313X15597356. DOI:10.1177 / 2050313x15597356
30. Charyshkin AL, Glushchenko LV, Chvalun SN, Sedush NS Te frst results of a self-dissolving flter. Surgery. Journal of them. N.I. Pirogov. 2014;(10): 21-24.
Review
For citations:
Kirienko A.I., Andriyashkin V.V., Ivanov V.V. The vascular wall injuries of vena cava inferior and surrounding organs by structural elements of vena cava filters in the late post-implantation period. Medical Herald of the South of Russia. 2018;9(4):42-48. (In Russ.) https://doi.org/10.21886/2219-8075-2018-9-4-42-48
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