Japanese Journal of Vascular Surgery
Online ISSN : 1881-767X
Print ISSN : 0918-6778
CASE REPORT
Successful Surgical Management of a Thrombosed Temporary Inferior Vena Cava Filter
Kentaro TamuraMasahumi SueshiroOsamu Ishii
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JOURNAL OPEN ACCESS

2009 Volume 18 Issue 4 Pages 529-533

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Abstract
Background: Although the inferior vena cava filter is effective for protection against pulmonary embolism associated with deep vein thrombosis, several kinds of complications have been reported. Patient and method: A 79-year-old woman who suffered from dyspnea was admitted with deep vein thrombosis and pulmonary thromboembolism. Protein S deficiency was revealed by a significant decrease in protein S activity. A temporary inferior vena cava filter (tIVCF) was inserted to prevent new pulmonary thromboembolism. After 13 days of anti-coagulant therapy, cavography revealed complete occlusion of the vena cava at the tIVCF. We tried catheter-directed thrombolysis and catheter thrombectomy, but were unsuccessful. The patient then underwent vena cava ligation under open laparotomy. The surgery was successful and she was discharged on post-operative day 20. Conclusion: Although this is a rare complication, we must carefully observe patients after insertion of temporary inferior vena cava filters.
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https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja
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