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Silbernagel, G; Brechtel, K; Strolin, A; Balletshofer, B.
Infrarenal implantation of vena cava filters: two case reports
DEUT MED WOCHENSCHR. 2010; 135(50): Doi: 10.1055/s-0030-1247619 (- Case Report)
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Leading authors Med Uni Graz
Silbernagel Günther
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Abstract:
History, Investigations and Diagnosis: Patient 1, 73 years, suffered from pain in the left lower leg showing discretely increased circumference. Due to a spontaneous cerebral bleeding of a cavernous malformation five years ago there was an absolute contraindication against anti-platelet therapy and anticoagulation. Patient 2, 79 years, presented with increasing dyspnoea. Two and four months ago deep venous thromboses had been diagnosed and he was therefore treated with phenprocoumon (secured sufficient anticoagulation). Diagnostics: In patient 1, deep venous thrombosis was diagnosed with Doppler-ultrasound. Further examinations showed thrombus ascension. In patient 2, deep venous thrombosis and pulmonary artery embolism were diagnosed with Doppler-ultrasound and contrast medium enhanced thoracic computed tomography (CT). In the second case, a bronchial adenocarcinoma associated with silicosis was finally diagnosed with 18F-fluordeoxyglukose positron emission tomography/ CT and histological investigation of a biopsy sample. Treatment and course: Retrievable vena cava filters were implanted in both patients. The interventions and course were without vena cava filter associated complications in both patients. Conclusions: These two case reports reflect different clinical situations in which the implantation of vena cava filters may be considered. Furthermore, this report gives a short overview about the different types of vena cava filters, the current guidelines for the implantation, the clinical benefits and possible adverse events associated with the use of vena cava filters.
Find related publications in this database (using NLM MeSH Indexing)
Adenocarcinoma - diagnosis Adenocarcinoma - therapy
Aged -
Anticoagulants - contraindications
Diagnosis, Differential -
Humans -
Lung Neoplasms - diagnosis Lung Neoplasms - therapy
Magnetic Resonance Imaging -
Male -
Paraneoplastic Syndromes - diagnosis Paraneoplastic Syndromes - therapy
Platelet Aggregation Inhibitors - contraindications
Prosthesis Implantation - methods
Pulmonary Embolism - prevention & control
Treatment Outcome -
Vena Cava Filters - classification
Venous Thrombosis - diagnosis Venous Thrombosis - therapy

Find related publications in this database (Keywords)
Thrombosis
pulmonary embolism
vena cava filter
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