Renal artery injury during inferior vena cava filter removal with endobronchial forceps

Retrieval of tip-embedded inferior vena cava filters using endobronchial forceps is a well-described technique. The tip of dorsally tilted filters may be in proximity to the right renal artery, increasing the risk of arterial injury during retrieval. We present one case that illustrates renal artery...

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Bibliographic Details
Main Authors: Carlos A Padula, Andrew R Lewis, Gregory T Frey, J Mark McKinney, Ricardo Paz-Fumagalli, Charles A Ritchie, Zlatko Devcic, Beau B Toskich
Format: Article
Language:English
Published: SAGE Publishing 2019-12-01
Series:JRSM Cardiovascular Disease
Online Access:https://doi.org/10.1177/2048004019893513
Description
Summary:Retrieval of tip-embedded inferior vena cava filters using endobronchial forceps is a well-described technique. The tip of dorsally tilted filters may be in proximity to the right renal artery, increasing the risk of arterial injury during retrieval. We present one case that illustrates renal artery injury requiring emergent stent graft repair. The three subsequent cases illustrate techniques that avoid renal artery injury using a femoral and jugular approach with the assistance of an arterial fiducial wire. Renal artery injury is a potential complication during retrieval of filters using endobronchial forceps that can be prevented with careful planning.
ISSN:2048-0040