Abstract
This case involves bilateral inferior vena caval filter placement in a 68-year-old male with a history of a recently diagnosed pulmonary embolism (PE) who presented with precipitously dropping hemoglobin and dark tarry stools after starting Eliquis. Endoscopy confirmed ulcerative esophagitis. Interventional radiology was consulted for inferior vena cava (IVC) filter placement as was indicated due to lower extremity thrombosis, PE, and GI bleed. During the procedure, cavography revealed a duplicated inferior vena cava (DIVC), prompting the placement of bilateral Denali filters infrarenally via the right and left common femoral approach. Only 16 similar cases are reported in the literature at the time of this literature review, and this case highlights the efficacy of bilateral infrarenal filter placement in addressing this anatomical variation.
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