Hayashi Hiroya, Tsuji Akihiro, Asano Ryotaro, Konagai Nao, Ueda Jin, Fukui Shigefumi, Ogo Takeshi, Miyata Shigeki, Yasuda Satoshi
Department of Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Department of Clinical Laboratory Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
J Cardiol Cases. 2019 Aug 10;20(4):142-146. doi: 10.1016/j.jccase.2019.07.006. eCollection 2019 Oct.
A 45-year-old man, who was implanted with an inferior vena cava (IVC) filter in his infrarenal IVC, had a complication of deep vein thrombosis (DVT) propagation from the IVC, beyond the IVC filter, to the right calf and left external iliac veins. The entire IVC filter was covered with a massive thrombus. We first decided to retrieve the IVC filter itself, which was suspected of causing metallic allergy. The thrombotic IVC filter was successfully retrieved using multi-step catheter intervention. To our knowledge, this is the first case report to describe successful multi-step catheter intervention for retrieval of an IVC filter covered with a massive thrombus. < Inferior vena cava (IVC) filter thrombosis is one of the most serious IVC filter complications. It is difficult to retrieve the IVC filter covered with a massive thrombus. Multi-step catheter intervention technique may be useful to retrieve an IVC filter with thrombotic occlusion.>.
一名45岁男性，其肾下腔静脉植入了下腔静脉（IVC）滤器，出现了深静脉血栓形成（DVT）的并发症，血栓从IVC经IVC滤器延伸至右小腿和左髂外静脉。整个IVC滤器被大量血栓覆盖。我们首先决定取出疑似引起金属过敏的IVC滤器本身。通过多步骤导管介入成功取出了血栓形成的IVC滤器。据我们所知，这是第一例描述成功采用多步骤导管介入取出被大量血栓覆盖的IVC滤器的病例报告。<下腔静脉（IVC）滤器血栓形成是最严重的IVC滤器并发症之一。取出被大量血栓覆盖的IVC滤器很困难。多步骤导管介入技术可能有助于取出有血栓阻塞的IVC滤器。>
