Placement of a Superior Vena Caval Filter in a Case of Upper Extremity Deep Venous Syndrome.
10.4326/jjcvs.30.203
- VernacularTitle:上肢深部静脈血栓症に対し上大静脈フィルターを留置した１例
- Author:
Hiroyuki Naito
;
Takayuki Nomimura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2001;30(4):203-205
- CountryJapan
- Language:Japanese
-
Abstract:
We report a very rare case of placement of a superior vena caval (SVC) filter for upper extremity deep venous thrombosis. A 67-year-old woman with left axillary pain was admitted. Lower extremity deep venous thrombosis was diagnosed. CT scan and venography revealed acute thrombosis of the left brachial, axillary, subclavian, common jugular and innominate veins. We performed thrombolytic therapy and placement of a temporary filter within the SVC, because CT scan and a ventilation-perfusion scan revealed pulmonary embolism. After one week, due to lack of improvement, we placed a Greenfield filter within the SVC. It is necessary to place a SVC filter in high risk patients if anticoagulation therapy fails or if there is recurrence, proximal/wide range thrombosis, or pulmonary embolism.
