Summary
We report a case of extensive, rapidly progressive ileo-femoral thrombosis with a long, free floating extension into the inferior vena cava. The management of what is potentially a very lethal situation, utilising the Kimray Greenfield filter placed in a suprarenal position, is discussed.
References
Cimochowski, G. E., Evans, R. H., Zarins, C. K., Lee, C. T., De Meester, T. R. 1980. Greenfield filter vs Mobin-Uddin umbrella: the continuing quest for the ideal method of vena caval interruption. J. Thorac. Cardiovasc. Surg. 79, 358.
Crane, C. 1975. Venous interruption for pulmonary embolism: present status. Prog. Cardiovasc. Dis. (17), No. 5, 329.
Gazzaniga, A. B., Cahill, J. L., Replogle, R. L., Tilney, W. L. 1967. Changes in blood volume and renal function following ligation of the inferior vena cava. Surgery 62, 417.
Greenfield, L. J. 1976. Pulmonary embolism: diagnosis and treatment. Curr. Probi. Surg. 13 (4), 1.
Greenfield, L. J., Peyton, J. W. R., Crute, S. L. 1981. Greenfield vena cavai filter experience. Arch. Surg. 116, 1451.
Maraan, B. M., Tabor, R. E. 1968. The effects of inferior vena cavai ligation on cardiac output: an experimental study. Surgery 63(6), 966.
Mobin-Uddin, K., Callard, G. M., Bolooki, H., Rubinstein, R., Michie, D., Jude, J. R. 1972. Trans- venous interruption with umbrella filter. N. Eng. J. Med. 286, 55.
Peyton, J. W. R., Stewart, J. R., Greenfield, L. J., Crute, S. L. 1982. Htemodynamics and renal function following experimental suprarenal vena cavai occlusion. Surg. Gynaecol. Obstet. 155, 37.
Scurr, J. H., Jarrett, P. E. M., Wastell, C. 1983. The treatment of recurrent pulmonary embolism: experience with the Kimray Greenfield vena caval filter. Ann. R. Coll. Surg. Engl. 65, 233.
Stewart, J. R., Peyton, J. W. R., Crute, S. L., Greenfield, L. J. 1982. Clinical results of suprarenal placement of the Greenfield vena caval filter. Surgery 155, 37.
Wingerd, M., Bennhard, V. M., Maddison, F., Towne, J. B. 1978. Comparison of vena caval filters in the management of venous thromboembolism. Arch. Surg. 113, 1264.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Peyton, J.W.R., Mcllrath, E.M. & Hood, J.M. Management of a widowmaker. I.J.M.S. 153, 181–183 (1984). https://doi.org/10.1007/BF02939823
Issue Date:
DOI: https://doi.org/10.1007/BF02939823