Pulse-spray thrombolysis of inferior vena cava thrombosis complicating filter placement
Case Reports
- 22 Downloads
Abstract
Inferior vena cava thrombosis is an uncommon but potentially serious complication of caval filter placement. A 34-year-old man with symptomatic caval thrombosis, which occurred 6 weeks after filter placement, was successfully treated with a combination of pulse-spray and local infusion of urokinase.
Key words
Venae cavae, thrombosis, filters Thrombolytic therapy Download
to read the full article text
References
- 1.Grassi CJ (1991) Inferior vena caval filters: Analysis of five currently available devices. AJR 156:813–821Google Scholar
- 2.Millward SF, Marsh JI, Peterson RA, Rasuli P, French G, Wilson CM, Tennenhouse JE, Morris DC, Simons ME, Formoso AF (1991) LGM (Vena Tech) vena cava filter: Clinical experience in 64 patients. JVIR 2:429–433Google Scholar
- 3.Simon M, Athanasoulis CA, Kim D, Steinberg FL, Porter DH, Byse BH, Kleshinski S, Geller S, Orron DE, Waltman AC (1989) Simon nitinol inferior vena cava filter: Initial clinical experience (work in progress). Radiology 172:99–103Google Scholar
- 4.Aruny JE, Kandarpa K (1990) Phlegmasia cerulea dolens, a complication after placement of a Bird's Nest vena cava filter. AJR 154:1105–1106Google Scholar
- 5.Carabasi RA III, Moritz MJ, Jarrell BE (1987) Complications encountered with the use of the Greenfield filter. Am J Surgery 154:163–168Google Scholar
- 6.Haissaguerre M, Bonnet J, Douvier JJ, Bricaud H (1986) Comparison of fibrinolytic treatment with interruption of the inferior caval vein in the prevention of pulmonary embolism. Int J Cardiol 12:213–221Google Scholar
- 7.Wilson JJ, Balsys A, Newman H, Lychacz B (1992) IVC thrombosis: Successful treatment with low dose streptokinase. J Cardiovasc Surg 33:109–111Google Scholar
- 8.Sharma S, Loya YS, Daxini BV (1992) Percutaneous balloon membranotomy combined with prolonged streptokinase infusion for management of inferior vena cava obstruction. Am Heart J 123:515–518Google Scholar
- 9.Ishiguchi T, Fukatsu H, Itoh S, Shimamoto K, Sakuma S (1992) Budd-Chiari syndrome with long segmental inferior vena cava obstruction: Treatment with thrombolysis, angioplasty, and intravascular stents. JVIR 3:421–425Google Scholar
- 10.Kraus TW, Rohren T, Manner M, Otto G, Kauffmann GW, Herfarth C (1992) Successful treatment of complete inferior vena cava thrombosis after liver transplantation by thrombolytic therapy. Br J Surg 79:568–569Google Scholar
- 11.Anderson BJ, Keeley SR, Johnson ND (1991) Caval thrombolysis in neonates using low doses of recombinant human tissue-type plasminogen activator. Anaesth Intens Care 19:22–27Google Scholar
- 12.Storti S, Pagano L, Marra R, Grilli A, Falappa G, De Gaetano AM, Ferrante AMR, Bizzi B (1990) Urokinase and AT-III concentrate treatment in inferior vena cava thrombosis associated with nephrotic syndrome. Blood Coag Fibrinol 1:743–745Google Scholar
- 13.Greenfield LJ, Peyton R, Crute S, Barnes R (1991) Greenfield vena caval filter experience: Late results in 156 patients. Arch Surg 116:1451–1456Google Scholar
- 14.Bookstein JJ, Fellmeth B, Roberts A, Valji K, Davis G, Machado T (1989) Pulsed-spray pharmacomechanical thrombolysis: Preliminary clinical results. AJR 152:1097–1100Google Scholar
- 15.Okrent D, Messersmith R, Buckman J (1991) Transcatheter fibrinolytic therapy and angioplasty for left iliofemoral venous thrombosis. JVIR 2:195–200Google Scholar
- 16.Dake MD, Wexler L, Wittich GR, Cooke JP, Signer B, Sarkisian MK, Lukacs J (1992) Transjugular regional thrombolysis of iliofemoral venous occlusions (abstract) JVIR 3:35Google Scholar
- 17.Francis CW, Marder VJ (1991) Fibrinolytic therapy for venous thrombosis. Progr Cardiovasc Dis 34:193–204Google Scholar
- 18.Hansen ME, Geller SC, Yucel EK, Egglin TK, Waltman AC (1991) Transfemoral venous catheterization through inferior vena caval filters: Results in seven cases. AJR 157:967–970Google Scholar
Copyright information
© Springer-Verlag New York Inc 1994