Covered aortic stent graft reconstruction of the inferior vena cava after iatrogenic injury during inferior vena cava filter retrieval.

Complications during inferior vena cava (IVC) filter retrieval can be catastrophic, particularly in cases of filter penetration or embedment. The present report describes a 59-year-old woman who developed acute hemodynamic instability because of IVC laceration during complex retrieval of an IVC filter complicated by extensive iliocaval thrombosis. Management included aspiration thrombectomy, filter removal, and reconstruction of the infrarenal IVC using a covered abdominal aortic stent graft with iliac extensions, achieving hemostasis and restoration of venous flow. This case highlights the successful use of a covered aortic stent graft for emergent IVC repair.