Abstract
Asymptomatic penetration of the inferior vena cava (IVC) wall with retrievable filters is not uncommon. Occasionally, this can be a cause for morbidity, and rarely for mortality. We present a case of duodenocaval fistula, secondary to penetration from a strut of retrievable IVC filter that presented as lower gastrointestinal bleeding and discuss the subsequent management. Although newer generation retrievable filters provide a longer time for retrieval, they are associated with an increased incidence of IVC wall penetration, caudal migration, and occasionally symptomatic presentation, thereby necessitating surgical intervention. Close follow-up is warranted, and prompt retrieval of such devices should be done when their use is no longer indicated.
Original language | English |
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Journal | Annals of Vascular Surgery |
Volume | 25 |
Issue number | 8 |
DOIs | |
State | Published - Nov 2011 |
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All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine
- Surgery
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Duodenocaval fistula from inferior vena cava filter penetration masquerading as lower gastrointestinal bleeding. / Bathla, Lokesh; Panwar, Aru; Fitzgibbons, Robert Joseph; Balters, Marcus.
In: Annals of Vascular Surgery, Vol. 25, No. 8, 11.2011.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Duodenocaval fistula from inferior vena cava filter penetration masquerading as lower gastrointestinal bleeding
AU - Bathla, Lokesh
AU - Panwar, Aru
AU - Fitzgibbons, Robert Joseph
AU - Balters, Marcus
PY - 2011/11
Y1 - 2011/11
N2 - Asymptomatic penetration of the inferior vena cava (IVC) wall with retrievable filters is not uncommon. Occasionally, this can be a cause for morbidity, and rarely for mortality. We present a case of duodenocaval fistula, secondary to penetration from a strut of retrievable IVC filter that presented as lower gastrointestinal bleeding and discuss the subsequent management. Although newer generation retrievable filters provide a longer time for retrieval, they are associated with an increased incidence of IVC wall penetration, caudal migration, and occasionally symptomatic presentation, thereby necessitating surgical intervention. Close follow-up is warranted, and prompt retrieval of such devices should be done when their use is no longer indicated.
AB - Asymptomatic penetration of the inferior vena cava (IVC) wall with retrievable filters is not uncommon. Occasionally, this can be a cause for morbidity, and rarely for mortality. We present a case of duodenocaval fistula, secondary to penetration from a strut of retrievable IVC filter that presented as lower gastrointestinal bleeding and discuss the subsequent management. Although newer generation retrievable filters provide a longer time for retrieval, they are associated with an increased incidence of IVC wall penetration, caudal migration, and occasionally symptomatic presentation, thereby necessitating surgical intervention. Close follow-up is warranted, and prompt retrieval of such devices should be done when their use is no longer indicated.
UR - http://www.scopus.com/inward/record.url?scp=80054930488&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80054930488&partnerID=8YFLogxK
U2 - 10.1016/j.avsg.2011.03.015
DO - 10.1016/j.avsg.2011.03.015
M3 - Article
C2 - 21835583
AN - SCOPUS:80054930488
VL - 25
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
SN - 0890-5096
IS - 8
ER -