Lumbar Artery Pseudoaneurysm Caused by a Gunther Tulip Inferior Vena Cava Filter
Lumbar Artery Pseudoaneurysm Caused by a Gunther Tulip Inferior Vena Cava Filter
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DOI：
10.1177/1538574411419373
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发表时间：
2011-11-01
影响因子：
0.9
通讯作者：
Andrews, James C.
中科院分区：
文献类型：
--
作者：
Skeik, Nedaa;McEachen, James C.;Andrews, James C.
下腔静脉（IVC）滤器广泛用于降低有抗凝禁忌症患者的肺栓塞风险。并发症包括局部血肿、穿刺部位深静脉血栓形成（DVT）、滤器移位和栓塞、腿部穿透IVC壁、IVC闭塞和滤器断裂伴栓塞。其他罕见的并发症包括腿部穿透到邻近器官，包括十二指肠和输尿管。腰动脉假性动脉瘤是罕见的，可能是自发性的，医源性的，或创伤性的。迄今为止，已有3例IVC滤器导致腰动脉假性动脉瘤的病例报告。我们报告了另一例由Gunther Tulip IVC滤器引起的腰动脉假性动脉瘤，经选择性栓塞成功治疗。
Inferior vena cava (IVC) filters are widely used to decrease the risk of pulmonary embolism in patients with contraindications to anticoagulation. Complications include local hematoma, access site deep venous thrombosis (DVT), filter migration and embolization, leg penetration through the IVC wall, IVC occlusion, and filter fracture with embolization. Other rare complications include leg penetration into adjacent organs including duodenum and ureter. Lumbar artery pseudoaneurysms are rare and may be spontaneous, iatrogenic, or traumatic. To date, there have been 3 case reports of lumbar artery pseudoaneurysms caused by IVC filters. We present an additional case of a lumbar artery pseudoaneurysm caused by a Gunther Tulip IVC filter treated successfully with selective embolization.