Permanent IVC filter strut penetration into an abdominal aortic aneurysm. Issue 6 (7th June 2021)

• Record Type: Journal Article
• Authors: Lee, Juehea; Roche-Nagle, Graham
• Is Part Of: BMJ case reports. Volume 14:Issue 6(2021)
• Publication Date: 2021-06-07
• Subjects: venous thromboembolism -- haematology (incl blood transfusion) -- vascular surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2021-241962
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : An 85-year-old man with a known history of abdominal aortic aneurysm (AAA) presented to a vascular surgery clinic with a severely swollen, tender and erythematous left leg. An urgent CT angiogram demonstrated a left-sided, proximal deep vein thrombosis, and a permanent, Bird's Nest inferior vena cava (IVC) filter (Cook, Inc., Bloomington, Ind.) penetrating his AAA. The patient was treated with a course of apixaban 5 mg two times per day and the decision was made to closely observe his IVC filter and AAA, given his numerous comorbidities and age. This case highlights the unique considerations associated with an approach to permanent IVC filter complications among patients with AAAs.