Iatrogenic Aortic Placement of an IVC Filter
[...]. Iatrogenic Aortic Placement of an IVC Filter. CTICases. Published January 7, 2022. https://cticases.com/c/rhduv
Imaging findings
Chest radiograph and CT angiography show an inferior vena cava (IVC) filter placed abnormally within the descending abdominal aorta rather than the IVC, following a bedside emergency placement procedure.
Key takeaways
Accidental aortic placement of an IVC filter is a rare, severe iatrogenic complication. It can occur during bedside insertion without fluoroscopic guidance, especially in volume-depleted patients where vascular anatomy is poorly defined, and necessitates urgent endovascular retrieval to prevent arterial thrombosis.
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