Thrombolytic Therapy and Aspiration of Clots were Effective in the Removal of a Transient Inferior Vena Cava (IVC) Filter that Captured a Large Thrombus

被引:3
作者
Takahashi, Norihito [1 ]
Isoda, Kikuo [1 ]
Hiki, Masaru [1 ]
Fujimoto, Shinichiro [1 ]
Daida, Hiroyuki [1 ]
机构
[1] Juntendo Univ, Grad Sch Med, Dept Cardiovasc Med, Tokyo, Japan
关键词
deep vein thrombosis; pregnancy; IVC filter; thrombolytic therapy; aspiration; DEEP VENOUS THROMBOSIS; PREGNANCY; PLACEMENT;
D O I
10.2169/internalmedicine.56.8175
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 37-year-old woman presented at 37 weeks of gestation with a history of heaviness in her left leg. Enhanced computed tomography revealed a left extensive ileofemoral thrombus, and we employed a transient inferior vena cava (IVC) filter (t-IVCF) before delivery. Although we attempted to remove the t-IVCF on the day after delivery, a large thrombus was captured in the filter. We therefore performed thrombolytic therapy for one week, but a few small clots remained within the t-IVCF. We were ultimately able to remove the t-IVCF under constant negative pressure by aspiration from a side-hole of the sheath. We herein describe the effectiveness of this aspiration technique in our case.
引用
收藏
页码:1369 / 1373
页数:5
相关论文
共 6 条
[1]   Treatment and prophylaxis of venous thromboembolism during pregnancy [J].
Bates, SM .
THROMBOSIS RESEARCH, 2002, 108 (2-3) :97-106
[2]   Thrombus just beneath a retrievable inferior vena cava filter in a pregnant woman with deep vein thrombosis: Its removal requiring catheter thrombus fragmentation with fibrinolysis [J].
Horie, Kenji ;
Suzuki, Hirotada ;
Ohkuchi, Akihide ;
Matsubara, Shigeki ;
Ikemoto, Tomokazu ;
Suzuki, Mitsuaki .
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, 2014, 40 (02) :590-594
[3]   Retrievable Gunther Tulip Vena Cava Filter in the prevention of pulmonary embolism in patients with acute deep venous thrombosis in perinatal period [J].
Koecher, Martin ;
Krcova, Vera ;
Cerna, Marie ;
Prochazka, Martin .
EUROPEAN JOURNAL OF RADIOLOGY, 2009, 70 (01) :165-169
[4]   Placement of a retrievable inferior vena cava filter for deep venous thrombosis in term pregnancy [J].
Liu, Yang ;
Sun, Yan ;
Zhang, Shiyi ;
Jin, Xing .
JOURNAL OF VASCULAR SURGERY, 2012, 55 (04) :1042-1047
[5]   Clinical outcome and complications of temporary inferior vena cava filter placement [J].
Miyahara, Takuya ;
Miyata, Tetsuro ;
Shigematsu, Kunihiro ;
Deguchi, Juno ;
Kimura, Hideo ;
Ishii, Shigeyuki ;
Nagawa, Hirokazu .
JOURNAL OF VASCULAR SURGERY, 2006, 44 (03) :620-624
[6]   Symptomatic inferior vena cava filter thrombosis: Clinical study of 30 consecutive cases [J].
Tardy, B ;
Mismetti, P ;
Page, Y ;
Decousus, H ;
DaCosta, A ;
Zeni, F ;
Barral, G ;
Bertrand, JC .
EUROPEAN RESPIRATORY JOURNAL, 1996, 9 (10) :2012-2016