Pulmonary embolism: Successful treatment of floating thrombus in SFJ after vena cava filter insertion and surgical thrombectomy

The floating venous thrombus in the common femoral vein has a high potential risk for pulmonary embolization. Clinical treatments, using anticoagulants or fibrinolytic, open thrombectomies, or thrombectomies by endovascular devices have all been used. Our case describe an obese patient affected by floating thrombus coming from GSV and diving in common femoral vein successful treated by combined both temporary vena cava insertion and open surgical thrombectomy.

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Compression Ultrasonography of the Leg Veins in Patients with Clinically Suspected Pulmonary Embolism

Thrombosis and Haemostasis ◽

10.1055/s-0037-1614158 ◽

2000 ◽

Vol 84 (12) ◽

pp. 973-976 ◽

Cited By ~ 25

Author(s):

Bernd-Jan Sanson ◽

Harry Büller ◽

Dees P. Brandjes ◽

Melvin Mac Gillavry ◽

Keyword(s):

Pulmonary Embolism ◽

Femoral Vein ◽

Suspected Pulmonary Embolism ◽

Common Femoral Vein ◽

Comparable Accuracy ◽

The Common ◽

Point Compression ◽

Multi Center Study ◽

Additional Value ◽

Compression Ultrasonography

SummaryWe performed a multi-center study in consecutive patients with suspected pulmonary embolism to compare the diagnostic accuracy of a two-point compression ultrasonography (only the common femoral vein and popliteal vein) with an extensive examination of compressibility (from the common femoral vein until the trifurcation of calf veins). A total of 479 patients underwent the two-point compression ultrasonography. The prevalence of pulmonary embolism was 32%. The sensitivity and specificity of this procedure were 23% (95% CI 19-26) and 98% (95% CI 96-99), respectively. Extensive compression ultrasonography was performed in 461 (96%) of these 479 patients and showed comparable accuracy indices (sensitivity 25%, 95% CI 20-28 and specificity 97%, 95% CI 95-99). We conclude that compression ultrasonography has a limited sensitivity for the detection of thrombosis in patients with acute pulmonary embolism within 24 h of presentation. A more extensive assessment of compressibility of the leg veins in these patients has no additional value as compared to the two-point assessment.

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Deep Venous Thrombosis and Pulmonary Embolism Caused by an Intravascular Synovial Sarcoma of the Common Femoral Vein

Vascular and Endovascular Surgery ◽

10.1177/1538574412460770 ◽

2012 ◽

Vol 46 (8) ◽

pp. 693-695 ◽

Cited By ~ 2

Author(s):

J. M. Schoneveld ◽

E. Debing ◽

G. Verfaillie ◽

C. Geers ◽

P. Van den Brande

Keyword(s):

Pulmonary Embolism ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Synovial Sarcoma ◽

Femoral Vein ◽

Common Femoral Vein ◽

The Common

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Abdominal Compression Effectively Increases the Size of the Common Femoral Vein, as Measured by Ultrasonography

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2008.04.022 ◽

2008 ◽

Vol 52 (4) ◽

pp. 446-452 ◽

Cited By ~ 10

Author(s):

James Charles Rowland Rippey ◽

Ovidiu Pascu ◽

Ian Jacobs

Keyword(s):

Femoral Vein ◽

Abdominal Compression ◽

Common Femoral Vein ◽

The Common

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Practice patterns of retrievable inferior vena cava filters and predictors of filter retrieval in patients with pulmonary embolism

Vascular Medicine ◽

10.1177/1358863x17726596 ◽

2017 ◽

Vol 22 (6) ◽

pp. 512-517 ◽

Cited By ~ 2

Author(s):

Jieun Kang ◽

Heung-Kyu Ko ◽

Ji Hoon Shin ◽

Gi-Young Ko ◽

Kyung-Wook Jo ◽

...

Keyword(s):

Pulmonary Embolism ◽

Inferior Vena Cava ◽

Predictive Factors ◽

Inferior Vena ◽

Vena Cava ◽

Ivc Filter ◽

Retrieval Rate ◽

Filter Retrieval ◽

Ivc Filters ◽

Filter Insertion

Retrievable inferior vena cava (IVC) filters are increasingly used in patients with venous thromboembolism (VTE) who have contraindications to anticoagulant therapy. However, previous studies have shown that many retrievable filters are left permanently in patients. This study aimed to identify the common indications for IVC filter insertion, the filter retrieval rate, and the predictive factors for filter retrieval attempts. To this end, a retrospective cohort study was performed at a tertiary care center in South Korea between January 2010 and May 2016. Electronic medical charts were reviewed for patients with pulmonary embolism (PE) who underwent IVC filter insertion. A total of 439 cases were reviewed. The most common indication for filter insertion was a preoperative/procedural aim, followed by extensive iliofemoral deep vein thrombosis (DVT). Retrieval of the IVC filter was attempted in 44.9% of patients. The retrieval success rate was 93.9%. History of cerebral hemorrhage, malignancy, and admission to a nonsurgical department were the significant predictive factors of a lower retrieval attempt rate in multivariate analysis. With the increased use of IVC filters, more issues should be addressed before placing a filter and physicians should attempt to improve the filter retrieval rate.

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