It Wasn't Cupid: Multimodality Imaging of Inferior Vena Cava Filter Fracture with Strut Migration to the Interventricular Septum
Mahwash Kassi, Jose Lopez, Colin Barker, Scott Trerotola, Neal Kleiman, and Karla Kurrelmeyer. It Wasn’t Cupid: Multimodality Imaging of Inferior Vena Cava Filter Fracture with Strut Migration to the Interventricular Septum. Methodist DeBakey Cardiovascular Journal: September 2014, Vol. 10, No. 3, pp. 198-200.doi: https://doi.org/10.14797/mdcj-10-3-198
Inferior vena cava (IVC) filter fracture with strut embolization is a rare and serious complication of IVC filters.1 Embolization to the heart is associated with grave consequences, including tamponade, ventricular arrhythmias, and sudden death. Currently, a paucity of literature consisting of case reports and case series exists to guide the clinician in diagnosis and management decisions. Transthoracic echocardiography and fluoroscopy are the imaging modalities routinely used to guide the clinician. However, these techniques may have insufficient resolution to establish the correct diagnosis and determine the appropriate treatment strategy. Multidetector computed tomography may have superior diagnostic value in these patients. Here, we present a case demonstrating the importance of multimodality imaging in assisting diagnosis and treatment decisions in patients with IVC filter fracture.
1. Nicholson W , Nicholson WJ , Tolerico P , Taylor B , Solomon S , Schryver T , et al. Prevalence of fracture and fragment embolization of Bard retrievable vena cava filters and clinical implications including cardiac perforation and tamponade. Arch Intern Med. 2010 Nov 8;170(20):1827–31. [Crossref]