Benrashid Ehsan, Adkar Shaunak Sanjay, Bennett Kyla Megan, Zani Sabino, Cox Mitchell Wayne
Department of Surgery, Duke University Medical Center, Durham, NC, USA.
Duke University School of Medicine, Durham, NC, USA.
SAGE Open Med Case Rep. 2015 Aug 12;3:2050313X15597356. doi: 10.1177/2050313X15597356. eCollection 2015.
While there is some local variability in the use of inferior vena cava filters and there has been some evolution in the indications for filter placement over time, inferior vena cava filters remain a standard option for pulmonary embolism prophylaxis. Indications are clear in certain subpopulations of patients, particularly those with deep venous thrombosis and absolute contraindications to anticoagulation. There are, however, a variety of reported inferior vena cava filter complications in the short and long term, making retrieval of the filter desirable in most cases. Here, we present the case of a morbidly obese patient complaining of chronic abdominal pain after inferior vena cava filter placement and malposition of the filter with extensive protrusion outside the inferior vena cava. She underwent successful laparoscopic retrieval of her malpositioned inferior vena cava filters after failure of a conventional endovascular approach.
虽然下腔静脉滤器的使用存在一定的局部差异，并且随着时间推移滤器置入的指征也有一些演变，但下腔静脉滤器仍然是预防肺栓塞的标准选择。在某些特定患者亚群中，指征是明确的，尤其是那些患有深静脉血栓形成且有抗凝绝对禁忌证的患者。然而，有各种关于下腔静脉滤器短期和长期并发症的报道，这使得在大多数情况下取出滤器是可取的。在此，我们报告一例病态肥胖患者的病例，该患者在置入下腔静脉滤器后出现慢性腹痛，且滤器位置不当，有大量突出于下腔静脉外的情况。在传统血管内方法失败后，她成功接受了腹腔镜下取出位置不当的下腔静脉滤器的手术。
