Key result
Removal of an inferior vena cava filter resulted in acute cardiac tamponade, which was successfully treated with emergent pericardiocentesis and a pericardial window.
Why the study?
Inferior vena cava filter removal can lead to multiple complications, and cardiac tamponade represents a rare iatrogenic complication of filter manipulation.
Case Report (n=1)
Cardiac tamponade is a rare but potentially fatal complication of IVC filter removal that requires prompt recognition and multidisciplinary management.
Alerts clinicians to rare tamponade risk with IVC filter removal; hypothesis-generating and leaves open need for incidence data.
Cardiac tamponade is a condition characterized by the accumulation of pericardial fluid, compromising the hemodynamics of the circulation. It has several known causes, including traumatic injury to the pericardium, idiopathic, neoplastic or purulent pericarditis, and, rarely, iatrogenic etiology. Inferior vena cava (IVC) filter removal can lead to multiple complications including but not limited to IVC perforation, air embolism, pneumothorax or filter migration. Here, we present a case of a middle-aged woman presenting with cardiac tamponade after IVC filter removal. She was successfully managed with pericardiocentesis followed by pericardial window placement. As this case and literature review illustrates, cardiac tamponade is a rare but potentially devastating complication of IVC filter manipulation.
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Roomi et al. (2020) conducted a case report in Cardiac tamponade (n=1). Inferior vena cava filter removal was evaluated on Clinical outcome after cardiac tamponade. Removal of an inferior vena cava filter resulted in acute cardiac tamponade, which was successfully treated with emergent pericardiocentesis and a pericardial window.
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