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Pulmonary embolism prevention in a patient with deep vein thrombosis and bilateral inferior vena cava

DOI: https://doi.org/10.25512/DIR.2008.02.3.11

For quoting:
Troitskij A.V., Belyakov A.G., Lysenko E.R., Gryaznov O.G., Azaryan A.S. "Pulmonary embolism prevention in a patient with deep vein thrombosis and bilateral inferior vena cava". Journal Diagnostic & interventional radiology. 2008; 2(3); 91-94.

authors:

Troitskij A.V.

Belyakov A.G.

Lysenko E.R.

Gryaznov O.G.

Azaryan A.S.

keywords:

inferior vena cava abnormalities

bilateral IVC

pulmonary embolism

cava-filter

Abstract:

Inferior vena cava (IVC) abnormalities are reported to occur in 3% of the population, and bilateral IVC is the most common one. We presented a case of a patient with bilateral IVC and pulmonary embolism threat due to deep vein thrombosis of the left leg and thrombus flotation in the left external iliac vein. Two cava-filters were placed. The need of two devices is obvious, because emboli can easily reach the pulmonary artery via either right or left IVC.

Reference

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Retrieval stent-filters in prevention of pulmonary thromboembolism

DOI: https://doi.org/10.25512/DIR.2007.01.4.07

For quoting:
Zlatovratskiy A.G., Kapranov S.A., Bobrov B.Yu., Balan A.N., Khachaturov A.A. "Retrieval stent-filters in prevention of pulmonary thromboembolism". Journal Diagnostic & interventional radiology. 2007; 1(4); 61-70.

authors:

Zlatovratskiy A.G.

Kapranov S.A.

Bobrov B.Yu.

Balan A.N.

Khachaturov A.A.

keywords:

thromboembolism

pulmonary artery

deep vein thrombosis

endovascular prophylaxis

catheter

cava-filter

stent-filter

Abstract:

The authors report 44 successful implantations of original retrieval Nitinol stent-filters, unique "closed" design of which comprehensively described in the article. All the devices placed for pulmonary embolism (PE) management in patients with lower extremity and pelvic deep vein (DV) thrombosis. Authors announce absolute efficiency of their stent-filters for PE prophylaxis, and the procedure itself declared to be safe and minimally invasive.

Stent-filter implantation into iliac veins compared to standard filter placement in inferior vena cava (IVC) excludes risks of total infrarenal IVC thrombosis - the major complication of such procedures. It is also associated with early DV recanalization, that in sum radically reduces disability rate. Moreover, in case of IVC abnormalities, kinking or external compression stent-filter into iliac position remains the only option for endovascular PE management. All the above can be mentioned as advantages of using stent-filters.

At the same time authors observe that stent-filters quick incorporation into vessel wall prevented endovascular retrieval of the device in quite a number of cases. Persistent PE threat, requiring prolonged antithrombotic therapy under endovascular protection, might also contribute for low retrievability of the device.

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