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Inferior Vena Cava Filter Thrombosis in the Postoperative Neurosurgical Setting: Case Report and Review of the Literature.

Loriaux D, Cobb MI, Zomorodi A, Gonzalez F, Smith TP, Lad SP - Cureus (2016)

Bottom Line: There are no definitive treatment guidelines for caval-filter thrombosis in the postoperative setting.The presentation, unique radiological findings, management, and outcome will be discussed.No similar cases of massive IVC-occlusive disease in a thrombophilic patient early in the postoperative course following neurosurgical intervention are documented in the medical literature.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Medicine, Duke University Medical Center, Durham NC.

ABSTRACT
There are no definitive treatment guidelines for caval-filter thrombosis in the postoperative setting. Clinical management for partial or complete postoperative inferior vena cava (IVC) occlusion relies solely on expert opinion, anecdotal evidence, and small clinical trials. As such, the primary objective of the present report is to offer a complex case of extensive IVC filter occlusion in a neurosurgical patient with past medical history significant for protein C deficiency. The presentation, unique radiological findings, management, and outcome will be discussed. No similar cases of massive IVC-occlusive disease in a thrombophilic patient early in the postoperative course following neurosurgical intervention are documented in the medical literature.

No MeSH data available.


Related in: MedlinePlus

Normal preoperative inferior venacavogramImage (A) shows post-contrast, normal-caliber, widely patent IVC prior to deployment of the IVC filter. Image (B) displays the Celect retrievable IVC filter following initial placement. The filter is shown below the renal veins and with no evidence of tilting, stenosis, or pre-existing thrombus. 
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FIG1: Normal preoperative inferior venacavogramImage (A) shows post-contrast, normal-caliber, widely patent IVC prior to deployment of the IVC filter. Image (B) displays the Celect retrievable IVC filter following initial placement. The filter is shown below the renal veins and with no evidence of tilting, stenosis, or pre-existing thrombus. 

Mentions: An IVC filter was placed on the day prior to left-sided microvascular decompression surgery. Venous access was obtained under sonographic guidance via the right internal jugular vein. A retrievable Celect IVC (Cook Celect®, Cook Medical INC., IN, USA) filter was deployed below the renal veins. Spot images of filter placement were acquired to achieve accurate positioning. An inferior venacavogram was obtained during the procedure and confirmed normal caliber IVC with no evidence of stenosis or pre-existing thrombus (Figure 1).


Inferior Vena Cava Filter Thrombosis in the Postoperative Neurosurgical Setting: Case Report and Review of the Literature.

Loriaux D, Cobb MI, Zomorodi A, Gonzalez F, Smith TP, Lad SP - Cureus (2016)

Normal preoperative inferior venacavogramImage (A) shows post-contrast, normal-caliber, widely patent IVC prior to deployment of the IVC filter. Image (B) displays the Celect retrievable IVC filter following initial placement. The filter is shown below the renal veins and with no evidence of tilting, stenosis, or pre-existing thrombus. 
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4829409&req=5

FIG1: Normal preoperative inferior venacavogramImage (A) shows post-contrast, normal-caliber, widely patent IVC prior to deployment of the IVC filter. Image (B) displays the Celect retrievable IVC filter following initial placement. The filter is shown below the renal veins and with no evidence of tilting, stenosis, or pre-existing thrombus. 
Mentions: An IVC filter was placed on the day prior to left-sided microvascular decompression surgery. Venous access was obtained under sonographic guidance via the right internal jugular vein. A retrievable Celect IVC (Cook Celect®, Cook Medical INC., IN, USA) filter was deployed below the renal veins. Spot images of filter placement were acquired to achieve accurate positioning. An inferior venacavogram was obtained during the procedure and confirmed normal caliber IVC with no evidence of stenosis or pre-existing thrombus (Figure 1).

Bottom Line: There are no definitive treatment guidelines for caval-filter thrombosis in the postoperative setting.The presentation, unique radiological findings, management, and outcome will be discussed.No similar cases of massive IVC-occlusive disease in a thrombophilic patient early in the postoperative course following neurosurgical intervention are documented in the medical literature.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Medicine, Duke University Medical Center, Durham NC.

ABSTRACT
There are no definitive treatment guidelines for caval-filter thrombosis in the postoperative setting. Clinical management for partial or complete postoperative inferior vena cava (IVC) occlusion relies solely on expert opinion, anecdotal evidence, and small clinical trials. As such, the primary objective of the present report is to offer a complex case of extensive IVC filter occlusion in a neurosurgical patient with past medical history significant for protein C deficiency. The presentation, unique radiological findings, management, and outcome will be discussed. No similar cases of massive IVC-occlusive disease in a thrombophilic patient early in the postoperative course following neurosurgical intervention are documented in the medical literature.

No MeSH data available.


Related in: MedlinePlus