Use of two Greenfield caval filters to prevent recurrent pulmonary embolism in a heparin-allergic gravida.

Autor: Arbogast JD; Department of Obstetrics and Gynecology, Providence Hospital, Southfield, Michigan, USA., Blessed WB, Lacoste H, Gross WS, Gonda RL Jr, Welch RA
Jazyk: angličtina
Zdroj: Obstetrics and gynecology [Obstet Gynecol] 1994 Oct; Vol. 84 (4 Pt 2), pp. 652-4.
Abstrakt: Background: Maternal mortality may be reduced by prompt diagnosis and treatment of pulmonary embolism.
Case: A 25-year-old pregnant woman required a second Greenfield filter after developing a heparin allergy and recurrent pulmonary embolism.
Conclusion: Heparin allergy has not been reported previously in pregnancy. A Greenfield filter may be used in this circumstance. Extension of the thrombus cephalad to the filter can cause recurrent emboli, so deployment of a second caval filter may be an effective remedy.
Databáze: MEDLINE