Parikh Anand, Zhang Jason, Glaser Julia, Kalapatapu Venkat
Division of Vascular and Endovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
J Vasc Surg Cases Innov Tech. 2020 Dec 1;7(1):104-107. doi: 10.1016/j.jvscit.2020.11.007. eCollection 2021 Mar.
This case describes a patient with a permanent Bird's Nest inferior vena cava filter in the setting of spinal cord injury and paraplegia who presented with epigastric pain resulting from duodenal perforation of his filter. After confirming that the patient was stable hemodynamically with normal laboratory values, he underwent open exploration with trimming of the extraluminal struts and wires, leaving the intact filter in place, with resolution of his pain. Although percutaneous removal of inferior vena cava filters is preferred for retrievable filters, this case demonstrates the safety and efficacy of open surgical management for permanent filters, not designed for retrieval.
本病例描述了一名脊髓损伤并截瘫患者，其体内有一个永久性鸟巢式下腔静脉滤器，因滤器十二指肠穿孔出现上腹部疼痛。在确认患者血流动力学稳定且实验室检查值正常后，他接受了开放探查，修剪了腔外支柱和金属丝，将完整的滤器留在原位，疼痛得以缓解。尽管对于可取出的滤器，经皮取出下腔静脉滤器是首选方法，但本病例证明了对于非设计用于取出的永久性滤器，开放手术治疗的安全性和有效性。
