Pilot Study Evaluating the Safety of a Combined Central Venous Catheter and Inferior Vena Cava Filter in Critically Ill Patients at High Risk of Pulmonary Embolism

2013 ◽  
Vol 24 (4) ◽  
pp. 581-585 ◽  
Author(s):  
Carlos A. Cadavid ◽  
Bladimir Gil ◽  
Alvaro Restrepo ◽  
Sergio Alvarez ◽  
Santiago Echeverry ◽  
...  
2013 ◽  
Vol 94 (6) ◽  
pp. 903-905
Author(s):  
I A Kamalov ◽  
I R Aglullin ◽  
M G Tukhbatullin ◽  
I R Safin ◽  
A Yu Rodionova

A clinical case of a 71-year old patient with stomach cancer and concomitant lower extremity deep venous thrombosis diagnosed before the surgical treatment is presented. The patient was administered anticoagulants, and despite the treatment, a diagnosis of deep venous thrombosis with high risk for thromboembolism was set up. Considering high risk for pulmonary embolism, an inferior vena cava filter was implanted in infrarenal part of inferior vena cava at the first stage. On the second day after the cancer surgery (subtotal stomach resection with lymphadenectomy), clot detachment and its dislocation from the left common femoral vein to the area where the cava filter was implanted with further fixation were diagnosed. Accurate diagnosis of lower extremity deep venous thrombosis with high risk for thromboembolism set up by ultrasonography and timely inferior vena cava filter implantation saved the patient with cancer from developing pulmonary embolism.


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