Suppr超能文献

下腔静脉滤器碎片的右心室栓塞:一项偶然发现。

Right Ventricle Embolization of IVC Filter Fragments: An Incidental Finding.

作者信息

Miyara Santiago J, Guevara Sara, Shore-Lesserson Linda, Shoaib Muhammad, Kirsch Claudia, Metz Christine N, Nair Vinay, Lau Lawrence, Choudhary Rishabh C, McCann-Molmenti Alexia, Baez Anthony M, Hayashida Kei, Takegawa Ryosuke, Shinozaki Koichiro, Aoki Tomoaki, Nishikimi Mitsuaki, Cho Young Min, Morell Alexis, Zafeiropoulos Stefanos, Zanos Stavros, Watt Stacey, Montorfano Lisandro, Bartoc Cristian D, Lumermann Claudio M, Aronsohn Judith, Becker Lance B, Molmenti Ernesto P

机构信息

Elmezzi Graduate School of Molecular Medicine, Manhasset, New York, New York.

Feinstein Institutes for Medical Research, Manhasset, New York, New York.

出版信息

Int J Angiol. 2021 Jul 30;34(2):100-104. doi: 10.1055/s-0041-1730451. eCollection 2025 Jun.

Abstract

This case report describes a 52-year-old male patient, with the incidental finding of inferior vena cava filter (IVCF) fragments impacted into the right ventricle, secondary to IVCF fragmentation and subsequent embolization. While IVCFs are prescribed to prevent pulmonary embolizations when anticoagulation is either contraindicated, or has failed, IVCF embolizations to the heart represent an extremely rare, but potentially life-threatening complication. Of note, at the time of writing, the utility and effectiveness of IVCF are not fully established. Intracardiac embolizations of IVCF typically present with complications such as hypotension, cardiac tamponade, arrhythmias, ventricle perforation, bleeding, cardiac arrest, and death. To our knowledge, this is the first case report of an asymptomatic kidney transplant recipient found to have right ventricle embolizations of IVCF fragments through routine assessment. Additionally, this is also the first report of an asymptomatic patient who presented IVCF fragments embolized to the right ventricle and left gonadal vein in the same clinical setting.

摘要

本病例报告描述了一名52岁男性患者,偶然发现下腔静脉滤器(IVCF)碎片栓塞至右心室,继发于IVCF碎裂及随后的栓塞。虽然IVCF用于在抗凝治疗禁忌或失败时预防肺栓塞,但IVCF栓塞至心脏是一种极其罕见但可能危及生命的并发症。值得注意的是,在撰写本文时,IVCF的效用和有效性尚未完全确立。IVCF的心内栓塞通常伴有低血压、心脏压塞、心律失常、心室穿孔、出血、心脏骤停和死亡等并发症。据我们所知,这是首例通过常规评估发现无症状肾移植受者存在IVCF碎片栓塞至右心室的病例报告。此外,这也是首例在同一临床情况下出现IVCF碎片栓塞至右心室和左性腺静脉的无症状患者的报告。

相似文献

1
Right Ventricle Embolization of IVC Filter Fragments: An Incidental Finding.
Int J Angiol. 2021 Jul 30;34(2):100-104. doi: 10.1055/s-0041-1730451. eCollection 2025 Jun.
3
Inferior vena cava filter limb embolization to the right ventricle: a case report.
Eur Heart J Case Rep. 2022 Sep 20;6(9):ytac378. doi: 10.1093/ehjcr/ytac378. eCollection 2022 Sep.
4
Retrievable inferior vena cava filters: initial clinical results.
Ann Vasc Surg. 2006 Jan;20(1):157-65. doi: 10.1007/s10016-005-9390-z.
7
Racial and ethnic disparities in inferior vena cava filter placement for deep vein thrombosis in the United States.
J Vasc Surg Venous Lymphat Disord. 2024 Jan;12(1):101683. doi: 10.1016/j.jvsv.2023.08.022. Epub 2023 Sep 12.
9
Retrievable inferior vena cava filters: early clinical experience.
J Cardiovasc Surg (Torino). 2005 Apr;46(2):163-9.
10
Contemporary rates of inferior vena cava filter thrombosis and risk factors.
J Vasc Surg Venous Lymphat Disord. 2022 Mar;10(2):313-324. doi: 10.1016/j.jvsv.2021.07.016. Epub 2021 Aug 20.

本文引用的文献

1
Vena caval filters for the prevention of pulmonary embolism.
Cochrane Database Syst Rev. 2020 Oct 8;10(10):CD006212. doi: 10.1002/14651858.CD006212.pub5.
5
Inferior Vena Cava Filters and Mortality: Is It the Underlying Process, the Patient, or the Device?
JAMA Netw Open. 2018 Jul 6;1(3):e180453. doi: 10.1001/jamanetworkopen.2018.0453.
6
Inferior Vena Cava Filter Limb Fracture with Embolization to the Right Ventricle.
J Emerg Med. 2017 Aug;53(2):248-251. doi: 10.1016/j.jemermed.2017.01.047. Epub 2017 Mar 6.
7
Inferior vena cava filter retrievals, standard and novel techniques.
Cardiovasc Diagn Ther. 2016 Dec;6(6):642-650. doi: 10.21037/cdt.2016.09.07.
8
Embolization of Inferior Vena Cava Filter Tyne and Right Ventricular Perforation: A Cardiac Missile.
Ann Thorac Surg. 2016 Dec;102(6):e515-e516. doi: 10.1016/j.athoracsur.2016.05.033.
10
Intracardiac embolization of inferior vena cava filter associated with right atrium perforation and cardiac tamponade.
Rev Bras Cir Cardiovasc. 2014 Apr-Jun;29(2):285-8. doi: 10.5935/1678-9741.20140060.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验