Inferior vena cava filter removal - Hope for the best and prepare for the worst: An anesthesiology perspective

A patient presented to our institution for an elective removal of an inferior vena cava (IVC) filter under local anesthesia. Once removed, it was noticed that the filter had a missing secondary leg. The patient had a chest CT done which showed a hyper-attenuating structure in the region of the tricu...

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Bibliographic Details
Published in:Annals of cardiac anaesthesia 2019-07, Vol.22 (3), p.337-339
Main Authors: Poliwoda, Salomon, Suthar, Rekhaben, Suraci, Nicholas, Garcia, Pedro, Behrens, Vicente, Goldman, Howard
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesiology
Case Report
CAT scans
Catheters
Embolisms
Endovascular retrieval
inferior vena cava filter
Local anesthesia
Medical imaging
Medical research
Patients
Physiological aspects
strut
Thoracic surgery
Thrombosis
Veins & arteries
Venae cavae
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Summary:A patient presented to our institution for an elective removal of an inferior vena cava (IVC) filter under local anesthesia. Once removed, it was noticed that the filter had a missing secondary leg. The patient had a chest CT done which showed a hyper-attenuating structure in the region of the tricuspid valve highly suspicious for the fractured strut of the filter. Upon these findings, the patient was taken once again to the surgical suite for an endovascular retrieval of the strut. For fear of a possible cardiac injury and a potential need for a sternotomy, the patient received general anesthesia and was placed with appropriate IV access and full cardiac monitors. The strut was removed successfully without any complications. Despite the relative benign nature of this endovascular procedure, one should always be prepared for an appropriate resuscitation in case of an occurrence of a surgical complication.
ISSN:0971-9784
0974-5181
DOI:10.4103/aca.ACA_159_18