When the filter perforates (pierces) the wall of the inferior vena cava it may not only damage that particular vessel, but internal organs near it as well. Medical studies have reported that the piercing of the ivc by filters has damaged areas of the b ody, such as the: heart Aorta lungs Small and large intestine liver Pancreas Kidney other veins including the renal vein (which drains the kidney) Spinal column diaphragm. The plaintiff in a recent ivc filter lawsuit has alleged that his filter pierced the inferior vena cava and abutted his abdominal aorta. The filter can no longer be removed, according to the suit. Ivc filter Thrombosis Thrombosis is the medical term for the clotting of the blood in a blood vessel. Filter devices are designed to catch blood clots, but over time the filter may partially or completely block the inferior vena cava. This is referred to as filter thrombosis. It may be due to the filter doing its job—catching blood clots—or the filter itself may be the primary cause of the blood clot. If the blockage is only partial there may be no symptoms.
No vte: Anticoagulation therapy is not possible (high risk of bleeding) Transient risk of vte: Trauma, surgical procedures or medical conditions Other indications edit bariatric patients: Undergoing surgery for weight control, only if bmi greater than 55, previous history of dvt/pe, hypercoagulable state, chronic venous. 13 Indications for removing rode ivc filter edit There is no current published data confirming the benefit of removing an ivc. Because of this, the society of Interventional Radiology created a multidisciplinary panel that developed the following guidelines to see if someone qualifies for removal: 3 no need for permanent filter: Remove temporary low risk of significant PE: Continued anticoagulation is working, remove temporary no expected. 14 15 While ivc filters are associated with a long term risk of dvt, 2 they are not, alone, reason enough to maintain extended anticoagulation. 16 Side effects edit The main function of a vena cava filter is to prevent death from massive pulmonary emboli. Long-term clinical follow-up studies have shown that this is accomplished in 96 of cases having a standard stainless-steel Greenfield filter. 17 Abdominal radiograph shows that one of the legs (arrows) of the ivc filter is pointed away from the expected ivc lumen. Axial ct image confirms that one of the legs (arrow) of the ivc filter has migrated out of the ivc wall into an adjacent tissue.
Bard settled an ivc filter lawsuit brought by a man who alleged that a leg that broke off of his Bard Recovery filter System, traveled to his heart and punctured it, requiring open heart surgery. In addition to the ivc filter complications mentioned above, there are instances in which the filter tilts, causing it to function improperly and making it difficult to remove. I have worked with baum Hedlund Aristei goldman attorneys for over a dozen years on multiple cases. All attorneys hold a thorough understanding of the law. Their professionalism is beyond expectations. I have thoroughly enjoyed my experience with this firm and their attorneys. Read more testimonials device perforation of ivc and Internal Organs The inferior vena cava runs alongside many internal organs.
Safety and Effectiveness of Inferior Vena cava
56 cases involving the fracture of the filter. Reported ivc filter Side Effects and Complications death heart Attack Stroke pulmonary embolism Chest pain Compromised respiration (breathing) Perforation/puncture urencontract of the inferior vena cava, heart, lungs, blood vessels or other internal organs Hemorrhagic pericardial effusion (excess fluid around the heart) Cardiac tamponade (compression of the. It may also fracture and shards of broken filter may travel (migrate) away from the device. These broken parts may then move through the inferior vena cava and end up lodging in other organs, most notably the heart. The medical term for this is embolization.
A recent case study in the journal Case reports in Cardiology focused on a woman who was found to have a fractured limb of a filter in her right ventricle. The medical literature contains numerous case studies of filters that have migrated to the right ventricle of the heart. This has resulted in abnormal heart beating (arrhythmias destruction of heart valves, indications of damage to the heart muscle, and the necessity of heart surgery to remove the device. Several deaths have been caused by ivc filter migration. In February 2015, filter maker.
From there, the oxygen-rich blood is pumped through arteries to the cells in the body and used to produce energy from food. The blood, now with much less oxygen, returns to the heart through the veins and is then pumped back to the lungs, where it releases carbon dioxide and picks up new oxygen. Blood clots in deep veins in the legs, known as deep vein thrombosis (dvt can interrupt this process. The clots can break loose and may travel up through the inferior vena cava back to the heart and then to the lungs, where they get stuck and block blood flow. This potentially fatal condition is known as a pulmonary embolism (PE).
A pulmonary embolism is a sudden blockage of a major artery in the lung. Ivc filter is designed to catch blood clots before they can travel to the lungs and cause. These filters are primarily used for patients who have repeated dvt despite the use of blood thinners (usually the first treatment given or in those who cannot take blood thinners for medical reasons. Ivc, filter, complications, there are numerous problems associated with the filters and each ivc filter lawsuit involves a variation on one of several adverse effects. In August of 2010 the. Food and Drug Administration issued a safety communication listing several types of ivc filter complications. Of the 921 adverse events reported to the fda there were: 328 cases of device migration. 146 cases involving detachment of device parts, which then moved through the vein to other locations. 70 cases of the ivc perforation (being pierced by the filter ).
Interventional Radiology: Inferior vena cava filters
Ivc, filter, lawsuit, baum Hedlund T13:39:3800:00, a medical device designed to rheumatica catch blood clots in the bodys largest vein before they can travel to the lungs is now the subject of hundreds of lawsuits claiming the device broke or otherwise malfunctioned, causing serious harm and. Baum, hedlund, Aristei goldman, pc, has represented thousands of clients in defective medical device and pharmaceutical cases, and our ivc filter lawsuit team tandartsverzekering is currently accepting cases from individuals and families who have been injured by, or are facing the threat of serious harm from. If you would like to speak to an ivc filter lawyer about your case, please contact us today for a free case evaluation. What Is an ivc, filter? An ivc filter is a medical device inserted into the inferior vena cava. Ivc, a large vein that carries blood from the lower body back to the heart. Vena cava is Latin for hollow vein.) The ivc is located in back of the abdomen and runs alongside the spine. Most of us are familiar with the basics of the circulatory system (see diagram below). The heart pumps blood to the lungs, where it picks up oxygen and then returns to the heart.
allow for, or be indicated. Thus, the requirements and indications for permanent placement of filters is used to decide on when to use both permanent and temporary ivc filters. 12 Long-term risk factors must be considered as well, to include life expectancy of more than six months following insertion, and the ability of the patient to comply with anticoagulation therapy. 3 The decision to use a filter that is temporary vs permanent basically is tied to the expected duration of time that protection is needed to prevent pulmonary emboli from passing to the heart and lungs. One such guideline is outlined below: 12 Contraindications to anticoagulation;. A patient with dvt or pe who has another condition that puts them at risk of bleeding, such as a recent bleed into the brain, or a patient about to undergo major surgery Short-term risk of PE/Short-term contraindication of anticoagulation: Usually merits a retrievable filter. Which is why the society of Interventional Radiology created a multidisciplinary panel that developed the following guidelines to see if someone qualifies for implantation: Absolute indications edit These are patients that should strongly consider having ivc filter placement, as they are at greatest risk. Proven vte: Venous thromboembolism and contraindication or complication due to anticoagulation therapy recurrent vte: Despite adequate anticoagulation therapy relative indications edit This is a maybe category; normally it represents patients who could benefit from an ivc filter, but may be just fine without one. Proven vte: High risk of contraindication or complication to arise during anticoagulation therapy large, free-floating proximal dvt's poor Compliance: inr levels are not stable, not taking medicine as directed Thrombolysis: Iliocaval dvt's, which are emboli in the Illiac region Prophylactic indications edit These are usually.
All patients were on anticoagulation drugs during the study. 4, results from the prepic study and other studies which have shown many long-term complications of ivc burns filters led to the introduction of retrievable ivc filters. The first retrievable ivc filters were approved by fda in 205. In 2012, the, american College of Chest Physicians recommended ivc filters for those with contraindications to anticoagulation who either have acute pe or acute proximal (above the knee) deep vein thrombosis (DVT). 6 7, contents, history edit, the first ivc filter was created. Kazi mobin-Uddin, md who published his findings in the. New England journal of Medicine., the mobin-Uddin filter was later replaced by the Greenfield filter developed by lazar Greenfield which had a lower rate of filter related complications.
Placement of vena cava filters and their
Inferior vena cava filter - gunther Tulip. 1, an inferior vena cava filter ivc filter ) is a type of droge vascular filter, a medical device that is implanted by interventional radiologists or vascular surgeons into the inferior vena cava to presumably prevent life-threatening pulmonary emboli (PEs). 2, their effectiveness and safety profile is not well established, and in general, they are only recommended in some high-risk scenarios. 2, they are not intended to be a replacement for medical (drug-based) management of venous thromboembolism (VTE). However, in cases where patients are at high risk of developing a clinically significant pe and cannot be sufficiently anticoagulated, placement of an ivc filter may be recommended. 3, to date, there has been only one randomized controlled trial completed on ivc filters. This study found that ivc filters reduced the incidence of pe but increased the incidence of deep vein thrombosis (DVT).