Abstract：
BACKGROUND: In the absence of a contiguous bowel perforation or intraabdominal source, infection of a retained vena cava filter in an occluded IVC has never been described.
OBJECTIVE: To describe a case of an infected IVC filter in a chronically occluded iliocaval segment.
METHODS: Here we present a case of an immunosuppressed 35-year-old female with chronically occluded iliocaval stents and an extensive staphylococcus hominis infection of a previously endo-trashed Bard Eclipse® filter. Particular attention is paid to supportive imaging in establishing the diagnosis and technical aspects of successful device explant and retroperitoneal debridement.
RESULTS: At 6 months postoperatively, the patient was doing well without evidence of recurrent infection. Her lower extremity edema was controlled with compression alone.
CONCLUSIONS: The main objective of this operation was source control with debridement of the infection and removal of the filter and as much of the iliac vein as safely possible. Superinfection of a previously placed iliocaval stents and inferior vena cava filter remains a concern in patients with retroperitoneal infection and chronic iliocaval occlusion. Operative explant and debridement can be safely performed in patients with favorable cardiopulmonary risk.
OBJECTIVE: To describe a case of an infected IVC filter in a chronically occluded iliocaval segment.
METHODS: Here we present a case of an immunosuppressed 35-year-old female with chronically occluded iliocaval stents and an extensive staphylococcus hominis infection of a previously endo-trashed Bard Eclipse® filter. Particular attention is paid to supportive imaging in establishing the diagnosis and technical aspects of successful device explant and retroperitoneal debridement.
RESULTS: At 6 months postoperatively, the patient was doing well without evidence of recurrent infection. Her lower extremity edema was controlled with compression alone.
CONCLUSIONS: The main objective of this operation was source control with debridement of the infection and removal of the filter and as much of the iliac vein as safely possible. Superinfection of a previously placed iliocaval stents and inferior vena cava filter remains a concern in patients with retroperitoneal infection and chronic iliocaval occlusion. Operative explant and debridement can be safely performed in patients with favorable cardiopulmonary risk.
摘要：
背景：在没有连续肠穿孔或腹内来源的情况下，从未描述过在闭塞的IVC中保留的腔静脉滤器的感染。
目的：描述一例慢性闭塞髂静脉段感染的IVC滤器。
方法：在这里，我们介绍一例免疫抑制的35岁女性患者，患有慢性闭塞的髂静脉支架和广泛的金黄色葡萄球菌感染，该感染是先前内部废弃的BardEclipse®过滤器。在建立成功的设备外植体和腹膜后清创术的诊断和技术方面时，应特别注意支持性成像。
结果：术后6个月，患者情况良好，没有反复感染的证据。她的下肢水肿仅通过压迫得到控制。
结论：该手术的主要目的是通过清创感染和尽可能安全地去除滤器和髂静脉的源头控制。对于腹膜后感染和慢性髂静脉闭塞患者，先前放置的髂静脉支架和下腔静脉滤器的过度感染仍然是一个问题。对于具有良好心肺风险的患者，可以安全地进行手术外植体和清创术。
目的：描述一例慢性闭塞髂静脉段感染的IVC滤器。
方法：在这里，我们介绍一例免疫抑制的35岁女性患者，患有慢性闭塞的髂静脉支架和广泛的金黄色葡萄球菌感染，该感染是先前内部废弃的BardEclipse®过滤器。在建立成功的设备外植体和腹膜后清创术的诊断和技术方面时，应特别注意支持性成像。
结果：术后6个月，患者情况良好，没有反复感染的证据。她的下肢水肿仅通过压迫得到控制。
结论：该手术的主要目的是通过清创感染和尽可能安全地去除滤器和髂静脉的源头控制。对于腹膜后感染和慢性髂静脉闭塞患者，先前放置的髂静脉支架和下腔静脉滤器的过度感染仍然是一个问题。对于具有良好心肺风险的患者，可以安全地进行手术外植体和清创术。
