Retrievable celect™ filter placement in the superior vena cava: A case report
| Autor: | Thiago Oliveira E. Silva, Francisco Cesar Carnevale, Tulio Fabiano de Oliveira Leite, Osvaldo Ignácio Pereira |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Schwannoma Article Vena cava filters superior vena cava filters 03 medical and health sciences 0302 clinical medicine Superior vena cava Edema medicine cardiovascular diseases Stroke business.industry Upper extremity deep vein thrombosis medicine.disease Surgery Pulmonary embolism Venous thrombosis 030220 oncology & carcinogenesis cardiovascular system 030211 gastroenterology & hepatology Neurosurgery medicine.symptom business Venous thromboembolism |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Superior vena cava filter is safe and feasible. • Superior vena cava filter is rare. • We report a case of a superior vena cava filter through jugular access. Introduction Venous thromboembolism is an important cause of morbidity and mortality in the world. Upper Extremity Deep Venous Thrombosis (UEDVT) may be a cause of pulmonary embolism. Anticoagulation is the treatment of choice for venous thromboembolism, which is associated with low hemorrhagic complications. However, there are situations that anticoagulation becomes contraindicated as gastrointestinal tract hemorrhages, stroke, progression of deep venous thrombosis in the presence of adequate anticoagulation, where the vena cava filter is recommended. Case report Patient 65 years old, female undergoing neurosurgical treatment of a mass suggestive of schwannoma with asymmetrical edema in the right upper limb, confirming the acute deep venous thrombosis by Doppler ultrassonogarphy. Anticoagulation was contraindicated by neurosurgery and after a multidisciplinary discussion, the superior vena cava filter was chosen. Discussion The Retrievable Celect™ Filter was implant in superior vena cava and may be considered as an alternative therapeutic method in cases where anticoagulation can not be performed. Conclusion Superior vena cava filter is controversial, but is safe, feasible and effective, in preventing symptomatic pulmonary embolisms in patients in whom anticoagulation is contraindicated. |
| Databáze: | OpenAIRE |
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