Cuadra Salvador A, Sales Clifford M, Lipson Adam C, Armstrong Cheryl A
The Cardiovascular Care Group, and Union County Neurosurgical Associates, Westfield and Union, NJ 07090, USA.
J Vasc Surg. 2009 Nov;50(5):1170-2. doi: 10.1016/j.jvs.2009.06.024. Epub 2009 Sep 26.
We report the case of a 70-year-old male with a complication of misplacement of a vena cava filter into the spinal canal. This likely happened as a result of penetration of the wire and filter sheath through the iliac vein or vena cava into the retroperitoneum, vertebral foramina, and spinal canal at the level of L2 and L3. Due to the patient's condition, the filter was not removed and no neurologic symptoms have occurred. This represents the first reported case of a filter deployment into the spinal canal. Although placement of vena cava filters is a relatively safe procedure, complications are seen commonly due to the large number of procedures performed. Spinal complications, however, are rarely reported. This is the first reported case of the inadvertent placement of a vena cava filter into the spinal canal.
我们报告了一例70岁男性患者,其发生了下腔静脉滤器误置入椎管的并发症。这可能是由于导丝和滤器鞘穿透髂静脉或下腔静脉,进入L2和L3水平的腹膜后、椎间孔和椎管所致。由于患者的病情,滤器未取出,且未出现神经症状。这是首例报道的滤器置入椎管的病例。虽然下腔静脉滤器置入是一种相对安全的操作,但由于手术数量众多,并发症很常见。然而,脊柱并发症很少有报道。这是首例报道的下腔静脉滤器意外置入椎管的病例。