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Abstract
Perforation of the inferior vena cava has been reported following insertion of the
Kim-Ray Greenfield filter. This report describes this complication as a consequence
of a preventable technical error. However, the clinical implications of such a malpositioned
filter may extend beyond the possible obvious complications of retroperitoneal hemorrhage
or paracaval organ injury. Inadequate protection against pulmonary embolism may result.
A three-dimensional concept is presented to illustrate the loss of equal “compartmentalization”
of the cava.
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References
- Clinical experience with vena caval filters.Arch Surg. 1973; 106: 582-587
- A new intracaval filter permitting continued flow and resolution of emboli.Surgery. 1973; 73: 599-606
- Clinical Experience with the Kim-Ray Greenfield vena caval filter.Ann Surg. 1977; 185: 692-698
- Transvenous caval interruption with umbrella filter.N Engl J Med. 1972; 286: 55-58
- Comparison of caval filters in the management of venous thromboembolism.Arch Surg. 1978; 113: 1264-1271
Article info
Publication history
Accepted:
May 22,
1979
Identification
Copyright
© 1980 Published by Elsevier Inc.
