J Korean Radiol Soc.  2006 Aug;55(2):123-128. 10.3348/jkrs.2006.55.2.123.

Trapping of Massive Thrombus in an Inferior Vena Cava Filter: Treatment with Additional Filter Placement and Aspiration Thrombectomy

• Choi JS
• Kim YW
• Cho WH
• Kim HT
• Koo JH
• Woo SK

• KMID: 2103808
• DOI: http://doi.org/10.3348/jkrs.2006.55.2.123

Abstract

For the patients suffering from extensive deep vein thrombosis (DVT), the placement of an inferior vena cava (IVC) filter in conjunction with anticoagulant therapy has been used to prevent pulmonary embolisms. However, for the patients who anticoagulant is contraindicated or if this is complicated, the use of an IVC filter without concurrent anticoagulation may become the sole treatment for pulmonary embolisms. In this situation, the thrombi trapped in the IVC filter may cause significant clinical problems. We report here on a case of IVC filter thrombosis that was successfully treated by aspiration thrombectomy after placing another filter proximal to the previous filter.

Keyword

Venae cavae, filters; Veins, thrombosis; Interventional procedures; Thrombectomy

MeSH Terms

Humans
Pulmonary Embolism
Thrombectomy*
Thrombosis*
Vena Cava Filters*
Vena Cava, Inferior*
Venous Thrombosis