| Percutaneous management of extensive clot trapped in a temporary vena cava filter. | |
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MedLine Citation:
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PMID: 14656168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To present percutaneous management of extensive clot trapped in a temporary inferior vena cava (IVC) filter. CASE REPORT: A 20-year-old man with a large sacral tumor and left external iliac vein thrombosis had a wire-mounted Günther temporary filter (GTF) prophylactically placed in the infrarenal IVC prior to tumor resection. The 7-day postsurgical venogram prior to filter removal showed extensive clot trapped by the filter, as well as interval cephalic migration, with the filter tip now at the level of the renal veins. A Günther Tulip MReye (GTM) filter was deployed but not released above the renal veins to prevent clot migration during caudal withdrawal of the wire-mounted GTF. After creating enough space in the infrarenal IVC, the GTM was repositioned and fully released with its apex now below the renal veins. The GTF was then uneventfully removed. There was no clinical evidence for significant pulmonary embolism 12 months after placement. CONCLUSIONS: Cephalic migration of a clotted temporary IVC filter can be managed with intraprocedural protection against pulmonary embolism by first deploying a Günther Tulip filter above the renal veins, with subsequent advancement below the renal veins before temporary filter removal. |
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Authors:
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Thomas G Vrachliotis; Athanassios Tachtaras; Nicholaos Doundoulakis; Robert G Sheiman; Vassilios Papadopoulos; Kiriakos A Stringaris |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 10 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-12-05 Completed Date: 2004-06-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 1001-5 Citation Subset: IM |
Affiliation:
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Department of Diagnostic Imaging/Interventional Radiology, Henry Dynant Hospital, Athens, Greece. vrachliotis2@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Embolism / therapy* Humans Male Time Factors Vena Cava Filters* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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