Late complications of vena cava filter implantation
V.V. Ivanov, V.V. Adriyashkin

Pirogov Russian National Research Medical University, Moscow

The author tried to generalize and systematize information about the late complications of vena cava filter implantation, to describe the symptoms and methods of treatment of its complications. The databases PubMed MEDLINE, Web of Sciences, OVID, eLIBRARY, LILACS, FDA MAUDE were analyzed on a key word. This review includes works describing the complications of vena cava filter implantation, their causes, clinical symptoms, results of surgical, endovascular and conservative treatment. An urgency of the problem is shown; types of late complications of vena cava filters implantation, a dependence of the mechanism of their development and clinical symptoms on the structure of the implantable device, a length of stay in the vein lumen are discussed. Many of the late complications of vena cava filter implantation, such as its thrombosis, syndrome of the inferior vena cava, walls damage of the inferior vena cava by elements of the filtering device with their penetration into the adjacent anatomical structures, fragmentation of the vena cava filter, filter migration or its fragments in the venous heart and pulmonary arteries, with the possible development of myocardial rupture and cardiac tamponade, pose a threat to the patient’s life. In the long-term period, the weaknesses of the vena cava filter implantation may dominate their therapeutic role. The article describes the options for treatment tactics in the development of complications of the cava filter implantation and their results. The necessity of creating a diagnostic and treatment algorithm in this category of patients is substantiated.

Key words: inferior vena cava, vena cava filter, post-thrombotic disease, complication, venous thromboembolic event.
For citation: Ivanov V.V., Adriyashkin V.V. Late complications of vena cava filter implantation // RMJ. 2018. № 6(II). P. 79–84.