Commentary on “Late Gastrointestinal Complications of Inferior Vena Cava Filter Placement: Case Report and Literature Review”
Abstract
PVSsppvsPerspect Vasc Surg Endovasc TherPerspectives in Vascular Surgery and Endovascular Therapy1531-00351521-5768SAGE PublicationsSage CA: Los Angeles, CA10.1177/153100351142915710.1177_1531003511429157Focus on IVC FiltersCommentary on “Late Gastrointestinal Complications of Inferior Vena Cava Filter Placement: Case Report and Literature Review”PittalugaPaulMDChastanetSylvainMDGillespieDavid L.MD11University of Rochester, Rochester, NY, USADavid L. Gillespie, MD, University of Rochester, 601 Elmwood Ave, Rochester, NY 14610, USA Email: david_gillespie@urmc.rochester.edu122011234Special Issue: Update on Chronic Venous Disease267267© The Author(s) 20112011SAGE PublicationsAnticoagulation has been shown to be effective in preventing clot extension and pulmonary embolism in patients with deep venous thrombosis. In a small subset of patients, however, anticoagulation is not possible, usually because of bleeding complications or pulmonary embolism while therapeutically anticoagulated. The use of inferior vena cava (IVC) filters has been shown to decrease death from pulmonary embolism in those patients.The reported rate of IVC filter complications ranges from 5% to 10%. These complications include migration, tilt, perforation, and fracture. These complications are not necessarily independent of each other and usually occur in combination. Initial tilting may lead to incomplete anchoring. Filter migration either cranially or caudally due to normal respiratory motion of the cava wall may lead to penetration of the caval wall by a filter leg with eventual fracture with embolization.Manufacturers