Fig. 11

This patient had a pregnancy related DVT and PE and was initiated on a heparin drip. After subsequent C-section, she developed a life threatening abdominal wall hematoma necessitating IVC filter placement. She presented for removal 19 weeks after placement. Initial images showed an intact Bard Eclipse filter (Bard Peripheral Vascular, Inc., Tempe, AZ) with legs penetrating out of the wall of the IVC. After retrieval using the standard loop snare and oversheathing technique, ex-vivo examination showed a missing leg and flouroscopic images showed this to be in the right atrium. As the patient was asymptomatic, retrieval of this fragment was not attempted