Document Detail

Inferior vena caval filters following deep vein thrombosis in patients with ruptured intracranial aneurysm.
MedLine Citation:
PMID:  12167734     Owner:  NLM     Status:  MEDLINE    
Anticoagulant therapy is highly effective and prevents death in more than 95% of patients who have suffered pulmonary embolism following deep vein thrombosis. Inferior vena caval filters provide an alternative to full anticoagulation in those patients at highest risk of catastrophic haemorrhagic complications. We report on two patients who developed deep vein thrombosis following ruptured unsecured intracranial aneurysms. Inferior vena caval filters were inserted prior to aneurysm clipping, as a prophylactic measure to prevent pulmonary embolism while awaiting surgery. The patients did not receive anticoagulant therapy following successful clipping of the aneurysm. Both patients had clinical resolution of the lower limb swelling and no radiological evidence of propagation of the thrombus. During 18 months of follow-up there were no complications and no evidence of post-thrombotic syndrome.
K C Wong; R Boet; W S Poon; S Yu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine     Volume:  8     ISSN:  1024-2708     ISO Abbreviation:  Hong Kong Med J     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-08     Completed Date:  2002-11-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512509     Medline TA:  Hong Kong Med J     Country:  China    
Other Details:
Languages:  eng     Pagination:  288-90     Citation Subset:  IM    
Division of Neurosurgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
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MeSH Terms
Aneurysm, Ruptured / complications*,  therapy
Anticoagulants / contraindications
Intracranial Aneurysm / complications*,  therapy
Middle Aged
Vena Cava Filters*
Vena Cava, Inferior
Venous Thrombosis / complications*,  prevention & control
Reg. No./Substance:

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