Key result
A 53-year-old woman with acute iliocaval thrombosis 42 years after Mobin-Uddin IVCF placement was successfully treated with thrombolysis, thrombectomy, IVCF removal, and stent reconstruction.
Why the study?
Permanent inferior vena cava filters can cause chronic vena caval occlusion and post-thrombotic syndrome, but standardized retrieval options are lacking.
Case Report (n=1)
Demonstrates the feasibility of percutaneous retrieval of a permanent inferior vena cava filter after 42 years of dwell time using endobronchial forceps.
May support percutaneous retrieval of permanent IVCFs after decades; leaves open need for larger studies on safety and efficacy.
Inferior vena cava filters (IVCFs) are an established alternative for protection from thromboembolism when anticoagulation fails or is contraindicated. Before the creation of retrievable IVCFs, patients received filters that were permanent or designed without standardized retrieval options. Although these filters were implanted for prolonged protection, chronic vena caval occlusion and post-thrombotic syndrome are potential sequelae. We present a 53-year-old patient with a Mobin-Uddin permanent IVCF placed 42 years prior complicated by acute iliocaval thrombosis following more than 40 years of filter dwell time. She was successfully treated with thrombolysis, thrombectomy, endobronchial forceps assisted IVCF removal, and iliocaval stent reconstruction.
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Patel et al. (2021) conducted a case report in Acute iliocaval thrombosis (n=1). Thrombolysis, thrombectomy, endobronchial forceps assisted IVCF removal, and iliocaval stent reconstruction was evaluated. A 53-year-old woman with acute iliocaval thrombosis 42 years after Mobin-Uddin IVCF placement was successfully treated with thrombolysis, thrombectomy, IVCF removal, and stent reconstruction.
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