Transpopliteal removal of an optease inferior vena cava filter after treatment of symptomatic filter thrombosis.

摘要

PURPOSE: To describe a case of transpopliteal retrieval of an inferior vena cava (IVC) filter. CASE REPORT: A paraplegic patient had an IVC filter placed for deep venous thrombosis (DVT) after anticoagulant therapy was stopped. Two weeks later, he developed massive scrotal and bilateral lower extremity swelling due to iliocaval thrombosis, which was treated by power pulse-spray thrombectomy and catheter-directed thrombolytic infusion via bilateral popliteal approaches. Following successful thrombus removal, the filter was uniquely retrieved via the right popliteal access; the patient was discharged on warfarin anticoagulation. CONCLUSION: Transpopliteal IVC filter retrieval is feasible and may be a useful alternative technique in selected instances.