Inferior vena cava filter eroding into duodenum - 16/08/11
Doi : 10.1016/j.gie.2006.04.012
| Commentary Beginning in the 1960s, a wide variety of techniques were used to partially occlude the IVC lumen, including sutures, clips, umbrellas, balloons, and strutted devices. Subsequently, an even wider range of complications from these IVC filters was reported. Entire filters have migrated into the right atrium and into the pulmonary artery, hence prompting research to develop retrievable filters. It is important for the gastroenterologist to be aware that, just as with aortic stents, a piece of IVC filter, usually one of the struts, can migrate into the duodenum. Because of the close association of the duodenum, aorta, and IVC, it is not unexpected that a foreign body, if placed into either of these vessels, can ultimately come to rest in the duodenum. Research into filter design to minimize migration and strut-associated damage is important and continuing. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2006
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 64 - N° 5
P. 817-818 - novembre 2006 Retour au numéro
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