TY - JOUR
T1 - Intracardiac migration of inferior vena cava filters
T2 - Review of published data
AU - Owens, Charles A.
AU - Bui, James T.
AU - Knuttinen, M. Grace
AU - Gaba, Ron C.
AU - Carrillo, Tami C.
AU - Hoefling, Nickoleta
AU - Layden-Almer, Jennifer E.
PY - 2009/9/1
Y1 - 2009/9/1
N2 - Background: Intracardiac or intrapulmonary migration of inferior vena cava (IVC) filters is an uncommon although potentially life-threatening event that is poorly understood. Methods: We searched the medical literature and extracted data detailing information concerning the event, including the cause and treatment of the filter migration. Our data were summarized with respect to the filter type, presenting symptoms, associated morbidity and mortality, and success and failure of the treatment provided. Results: Ninety-eight cases of intracardiac or intrapulmonary migration of IVC filters were identified in 77 publications. Conclusions: Intracardiac and intrapulmonary migration of IVC filters is an uncommon event the etiology of which has been attributed to a variety of causes including operator error, device failure, and patient's physical attributes. Although there is no consensus on patient management, we offer that open thoracotomy has several advantages over the endovascular approach and may provide the best first option. Whenever the patient is not a surgical candidate, endovascular retrieval has been demonstrated to be a relatively safe and viable alternative.
AB - Background: Intracardiac or intrapulmonary migration of inferior vena cava (IVC) filters is an uncommon although potentially life-threatening event that is poorly understood. Methods: We searched the medical literature and extracted data detailing information concerning the event, including the cause and treatment of the filter migration. Our data were summarized with respect to the filter type, presenting symptoms, associated morbidity and mortality, and success and failure of the treatment provided. Results: Ninety-eight cases of intracardiac or intrapulmonary migration of IVC filters were identified in 77 publications. Conclusions: Intracardiac and intrapulmonary migration of IVC filters is an uncommon event the etiology of which has been attributed to a variety of causes including operator error, device failure, and patient's physical attributes. Although there is no consensus on patient management, we offer that open thoracotomy has several advantages over the endovascular approach and may provide the best first option. Whenever the patient is not a surgical candidate, endovascular retrieval has been demonstrated to be a relatively safe and viable alternative.
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U2 - 10.1378/chest.09-0153
DO - 10.1378/chest.09-0153
M3 - Article
C2 - 19349385
AN - SCOPUS:70049092230
SN - 0012-3692
VL - 136
SP - 877
EP - 887
JO - Chest
JF - Chest
IS - 3
ER -