Document Detail


Experience of temporary inferior vena cava filters inserted in the perinatal period to prevent pulmonary embolism in pregnant women with deep vein thrombosis.
MedLine Citation:
PMID:  15874930     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We placed temporary inferior vena cava filters to prevent pulmonary thromboembolism in patients with deep vein thrombosis (DVT) who were presumed to have an increased risk of pulmonary embolism in the perinatal period. These experiences of using temporary inferior vena cava filters in pregnant women are reported.
METHODS: We reviewed 11 patients with DVT who underwent placement of a temporary inferior vena cava filter and delivered in our hospital between 1998 and 2004. All of the filters were placed at the suprarenal inferior vena cava before delivery. During filter placement, anticoagulant therapy was routinely performed, and we stopped the administration of anticoagulant agents intrapartum.
RESULTS: No complications occurred at filter insertion or during placement. No symptomatic pulmonary thromboembolism occurred during or after delivery. All of the filters were successfully removed, one of which was exchanged for a permanent filter because the temporary filter captured a large thrombus.
CONCLUSION: Intrapartum temporary inferior vena cava filters may reduce the incidence of pulmonary thromboembolism in pregnancy with DVT. Temporary inferior vena cava filters appear to be safe for pregnant women.
Authors:
Kazuya Kawamata; Yoshihide Chiba; Ryoichi Tanaka; Masahiro Higashi; Kazuhiro Nishigami
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  41     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-05-05     Completed Date:  2005-05-24     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  652-6     Citation Subset:  IM    
Affiliation:
Department of Perinatology, National Cardiovascular Center, Osaka, Japan. kkawamat@hsp.ncvc.go.jp <kkawamat@hsp.ncvc.go.jp>
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Perinatal Care*
Pregnancy
Pregnancy Complications, Cardiovascular / therapy*
Prosthesis Implantation
Puerperal Disorders / etiology,  prevention & control*
Pulmonary Embolism / etiology,  prevention & control*
Retrospective Studies
Vena Cava Filters*
Venous Thrombosis / complications,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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