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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)
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
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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.
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Adenocarcinoma - diagnosis Adenocarcinoma - therapy
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Aged -
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Anticoagulants - contraindications
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Diagnosis, Differential -
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Humans -
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Lung Neoplasms - diagnosis Lung Neoplasms - therapy
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Magnetic Resonance Imaging -
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Male -
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Paraneoplastic Syndromes - diagnosis Paraneoplastic Syndromes - therapy
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Platelet Aggregation Inhibitors - contraindications
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Prosthesis Implantation - methods
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Pulmonary Embolism - prevention & control
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Treatment Outcome -
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Vena Cava Filters - classification
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Venous Thrombosis - diagnosis Venous Thrombosis - therapy
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Thrombosis
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pulmonary embolism
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vena cava filter