Thrombolytic Therapy and Aspiration of Clots were Effective in the Removal of a Transient Inferior Vena Cava (IVC) Filter that Captured a Large Thrombus

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Author(s)

    • Takahashi Norihito
    • Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
    • Isoda Kikuo
    • Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
    • Hiki Masaru
    • Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
    • Fujimoto Shinichiro
    • Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
    • Daida Hiroyuki
    • Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan

Abstract

<p>A 37-year-old woman presented at 37 weeks of gestation with a history of heaviness in her left leg. Enhanced computed tomography revealed a left extensive ileofemoral thrombus, and we employed a transient inferior vena cava (IVC) filter (t-IVCF) before delivery. Although we attempted to remove the t-IVCF on the day after delivery, a large thrombus was captured in the filter. We therefore performed thrombolytic therapy for one week, but a few small clots remained within the t-IVCF. We were ultimately able to remove the t-IVCF under constant negative pressure by aspiration from a side-hole of the sheath. We herein describe the effectiveness of this aspiration technique in our case. </p>

Journal

  • Internal Medicine

    Internal Medicine 56(11), 1369-1373, 2017

    The Japanese Society of Internal Medicine

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