Treatment with Retrieval Type Vena Cava Filter for Deep Vein Thrombosis in Superior Vena Cava : A Case Report

Abstract

We describe 62 year-old man with upper extremity deep vein thrombosis that was treated with thrombolysis and anticoagulant therapy after placement of a retrieval type vena cava filter (Günther Tulip^TM Vena Cava Filter) into the proximal superior vena cava (SVC). Filter replacement in the SVC was performed safely without any complications such as filter migration or vascular injury. After thrombolysis, some floating thrombi were observed in the SVC. Therefore, the filter was not retrieved. Despite anticoagulant therapy with warfarin at our outpatient clinic, thrombus in the SVC enlarged. However, after the second thrombolysis session, the thrombus disappeared. Permanent filter placement may be benefical in high-risk patients with pulmonary thromboembolism.