| Placement of a Superior Vena
Caval Filter in a Case of Upper Extremity Deep Venous Thrombosis |
(Department of Surgery, Hiroshima General Hospital
of the West Japan Railway Company, Hiroshima, Japan)
| Hiroyuki Naito |
Takayuki Nomimura |
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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.
Jpn. J. Cardiovasc. Surg. 30: 203-205 (2001) |
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