Abstract

In patients where anticoagulation therapy is contraindicated, Inferior Vena Cava (IVC) filters are used as an option to prevent Pulmonary Embolism (PE). There are many classifications of Vena Cava filters the two main groups are; those intended for permanent implantation and the other temporary (which are to be retrieved at a later date). Permanent IVC filters are not designed to be removed, unless unexpected clinical circumstances arise. We describe a complex case of retrieval of a permanent IVC filter, though well documented; it is the first of its kind to be recorded in the Caribbean.

Highlights

  • Pulmonary Embolism (PE) is a potentially life-threatening condition where an embolus after being formed in the deep veins of the legs or pelvis, travels to the lungs where it may occlude one or more of the pulmonary arteries

  • There are many classifications of Vena Cava filters the two main groups are; those intended for permanent implantation and the other temporary [4]

  • We describe a complex case of retrieval of a permanent Inferior Vena Cava (IVC) filter, the first of its kind to be recorded in the Caribbean

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Summary

Introduction

Pulmonary Embolism (PE) is a potentially life-threatening condition where an embolus after being formed in the deep veins of the legs or pelvis, travels to the lungs where it may occlude one or more of the pulmonary arteries. The indications for placement of IVC filters still remain, somewhat controversial, where different groups having varying guidelines creating a “shades of grey area” for implantation These devices prove to be effective in preventing fatal or massive PE in patients with deep venous thrombosis who have contraindications to systemic anticoagulation. There are many classifications of Vena Cava filters the two main groups are; those intended for permanent implantation and the other temporary (which are to be retrieved at a later date) [4] These filters are known to come with their own set of risks, namely deep venous thrombosis, filter migration, filter-fracture, caval thrombosis [5] and filter erosion through the caval wall [6]

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