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Late complication of a Greenfield filter associating caudal migration and perforation of the abdominal aorta by a ruptured strut  Ahmad Dabbagh, MD, Nabil.

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Presentation on theme: "Late complication of a Greenfield filter associating caudal migration and perforation of the abdominal aorta by a ruptured strut  Ahmad Dabbagh, MD, Nabil."— Presentation transcript:

1 Late complication of a Greenfield filter associating caudal migration and perforation of the abdominal aorta by a ruptured strut  Ahmad Dabbagh, MD, Nabil Chakfé, MD, PhD, Jean-Georges Kretz, MD, Boualem Demri, PhD, Philippe Nicolini, MD, Claudio Fuentes, MD, Bertrand Mettauer, MD, Eric Epailly, MD, Dominique Muster, MD, PhD, Bernard Eisenmann, MD  Journal of Vascular Surgery  Volume 22, Issue 2, Pages (August 1995) DOI: /S (95)70115-X Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 A, Plain abdominal radiography performed after insertion of GF in 1986 demonstrates its location at level of first lumbar vertebral body. B, Plain abdominal radiography performed in 1993 demonstrates caudal migration, 30-degree left angulation of GF, and rupture of one of its six struts. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Abdominal computed tomography scan demonstrates perforation of inferior vena cava by struts and perforation of aorta by ruptured strut. A, Hub of filter is left-sided in IVC. B, Angulation of filter to left with perforation of IVC by struts. C, Penetration of aorta by ruptured strut. D, Ruptured strut is free in aortic lumen. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 2 Abdominal computed tomography scan demonstrates perforation of inferior vena cava by struts and perforation of aorta by ruptured strut. A, Hub of filter is left-sided in IVC. B, Angulation of filter to left with perforation of IVC by struts. C, Penetration of aorta by ruptured strut. D, Ruptured strut is free in aortic lumen. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 2 Abdominal computed tomography scan demonstrates perforation of inferior vena cava by struts and perforation of aorta by ruptured strut. A, Hub of filter is left-sided in IVC. B, Angulation of filter to left with perforation of IVC by struts. C, Penetration of aorta by ruptured strut. D, Ruptured strut is free in aortic lumen. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 2 Abdominal computed tomography scan demonstrates perforation of inferior vena cava by struts and perforation of aorta by ruptured strut. A, Hub of filter is left-sided in IVC. B, Angulation of filter to left with perforation of IVC by struts. C, Penetration of aorta by ruptured strut. D, Ruptured strut is free in aortic lumen. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 3 Cavogram demonstrates perforation of IVC by struts and hub of filter. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

8 Fig. 4 Aortography demonstrates aortic penetration by ruptured strut without arteriovenous fistula. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

9 Fig. 5 Perioperative view of ruptured strut in aortic lumen.
Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

10 Fig. 6 Scanning electron microphotograph of hub of filter. A, Proximal part of ruptured strut is still present in hub. B, At higher magnification, we noted dendritic structure and smooth area. This smooth aspect is probably due to pervious crack during setting and folding process. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

11 Fig. 6 Scanning electron microphotograph of hub of filter. A, Proximal part of ruptured strut is still present in hub. B, At higher magnification, we noted dendritic structure and smooth area. This smooth aspect is probably due to pervious crack during setting and folding process. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

12 Fig. 7 Scanning electron microphotograph of distal part of ruptured strut. A, About 20% of strut section (arrow) was still connected after setting process. On right side we observed that skin of strut is folded toward central part of section. B, Higher magnification of ruptured area of strut that was still connected after setting process. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

13 Fig. 7 Scanning electron microphotograph of distal part of ruptured strut. A, About 20% of strut section (arrow) was still connected after setting process. On right side we observed that skin of strut is folded toward central part of section. B, Higher magnification of ruptured area of strut that was still connected after setting process. Journal of Vascular Surgery  , DOI: ( /S (95)70115-X) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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