Published in:
01-07-2008 | Case Report
Technical Error During Deployment Leads to Vena Cava Filter Migration and Massive Pulmonary Embolism
Authors:
Nikolas I. Fotiadis, Tarun Sabharwal, Renato Dourado, Shabbo Fikrat, Andreas Adam
Published in:
CardioVascular and Interventional Radiology
|
Special Issue 2/2008
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Abstract
The Günther Tulip vena cava filter is a safe, effective, well-established device for pulmonary embolism prophylaxis. We report a patient in whom there was migration of the filter to the right atrium, 2 weeks after insertion, caused by a technical error during deployment. An attempt to retrieve the filter percutaneously failed, necessitating removal at open-heart surgery. The potential causes of migration are described and the lessons learned from this unusual case are outlined.