Open Surgical Removal of a Perforating Malpositioned Inferior Vena Cava Filter – Case Report and Review of Literature

Abstract Inferior vena cava (IVC) filters retained in situ for prolonged periods of time are at risk of filter-related complications and challenges during endovascular retrieval. We report the case of a malpositioned IVC filter with struts perforating the caval wall which was successfully removed by open surgical approach following a failed endovascular attempt and briefly discuss the evidence concerning retained IVC filters as well as use the use of open surgical approaches to explant them.