Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2021; 9(30): 9211-9217
Published online Oct 26, 2021. doi: 10.12998/wjcc.v9.i30.9211
Successful management of infected right iliac pseudoaneurysm caused by penetration of migrated inferior vena cava filter: A case report
Cheng-Xin Weng, Shu-Min Wang, Tie-Hao Wang, Ji-Chun Zhao, Ding Yuan
Cheng-Xin Weng, Shu-Min Wang, Tie-Hao Wang, Ji-Chun Zhao, Ding Yuan, Department of Vascular Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Weng CX, Wang TH, Zhao JC and Yuan D performed the surgery; Weng CX, Wang TH and Wang SM collected the information and followed the patient; Wang TH and Yuan D revised the paper; all authors read and approved the final manuscript.
Supported by the Sichuan Foundation of Science and Technology, No. 2020YFS0247.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: Authors certify that there is no conflict of interest related to the manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ji-Chun Zhao, MD, PhD, Doctor, Surgeon, Department of Vascular Surgery, West China Hospital of Sichuan University, No. 37 Guoxue Lane, Wuhou District, Chengdu 610041, Sichuan Province, China. zhaojichundoc@163.com
Received: May 14, 2021
Peer-review started: May 14, 2021
First decision: July 6, 2021
Revised: July 17, 2021
Accepted: August 30, 2021
Article in press: August 30, 2021
Published online: October 26, 2021
Core Tip

Core Tip: Few cases are reported about symptomatic penetration caused by double-basket indwelling inferior vena cava (IVC) filter. Herein, we report an unusual case of infected iliac pseudoaneurysm caused by penetration of an indwelling caudal migrated double-basket IVC filter. After open repair and antibiotic therapy, the patient had a good result at 6-mo follow up. This case demonstrated that an indwelling IVC filter in iliocaval confluence, even ‘embedded’ within organized thrombus, could still cause life-threatening complications, and a more aggressive strategy might be necessary for this situation. Open procedures remain the effective treatment for indwelling IVC filters with severe complications.