ACUTE THROMBOSIS OF A VENA-CAVA FILTER WITH A CLOT ABOVE THE FILTER - SUCCESSFUL TREATMENT WITH LOW-DOSE UROKINASE

被引:17
作者
TARDY, B [1 ]
PAGE, Y [1 ]
ZENI, F [1 ]
LAFOND, P [1 ]
DECOUSUS, H [1 ]
BERTRAND, JC [1 ]
机构
[1] CHRU ST ETIENNE, HOP BELLEVUE, DEPT CLIN PHARMACOL, ST ETIENNE, FRANCE
关键词
SIDE EFFECT; THROMBOLYTICS; VENA CAVA FILTER;
D O I
10.1378/chest.106.5.1607
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Inferior vena cava thrombosis is a major complication after filter placement. The thrombus can propagate through the filter leading to a high risk of pulmonary embolism. We report such a case in a patient with a Gunther filter, successfully treated with urokinase, and we discuss the efficacy and the safety of thrombolytic therapy in such situations.
引用
收藏
页码:1607 / 1609
页数:3
相关论文
共 18 条
[1]  
BABUTY D, 1990, ARCH MAL COEUR VAISS, V83, P1389
[2]   INFERIOR VENA-CAVA FILTERS - INDICATIONS, SAFETY, EFFECTIVENESS [J].
BECKER, DM ;
PHILBRICK, JT ;
SELBY, JB .
ARCHIVES OF INTERNAL MEDICINE, 1992, 152 (10) :1985-1994
[3]   COMPLICATIONS ENCOUNTERED WITH THE USE OF THE GREENFIELD FILTER [J].
CARABASI, RA ;
MORITZ, MJ ;
JARRELL, BE .
AMERICAN JOURNAL OF SURGERY, 1987, 154 (02) :163-168
[4]   LATE TOTAL CLOSURE AND CAUDAL MIGRATION OF AN LGM CAVAL FILTER [J].
DUPIN, N ;
MEYER, G ;
DIEHL, JL .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1992, 159 (06) :1349-1349
[5]   EXPERIENCE WITH THE AMPLATZ RETRIEVABLE VENA-CAVA FILTER [J].
EPSTEIN, DH ;
DARCY, MD ;
HUNTER, DW ;
COLEMAN, CC ;
TADAVARTHY, SM ;
MURRAY, PD ;
CASTANEDAZUNIGA, WR ;
AMPLATZ, K .
RADIOLOGY, 1989, 172 (01) :105-110
[6]   GUNTHER VENA-CAVAL FILTER - RESULTS OF LONG-TERM FOLLOW-UP [J].
FOBBE, F ;
DIETZEL, M ;
KORTH, R ;
FELSENBERG, D ;
BENDER, S ;
HAMED, M ;
LAASS, C ;
SORENSEN, R .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1988, 151 (05) :1031-1034
[7]   ACUTE INFERIOR VENA-CAVA THROMBOSIS - EARLY RESULTS OF HEPARIN-THERAPY [J].
GIRARD, P ;
HAUUY, MP ;
MUSSET, D ;
SIMONNEAU, G ;
PETITPRETZ, P .
CHEST, 1989, 95 (02) :284-291
[8]  
Grassi C J, 1992, J Vasc Interv Radiol, V3, P535, DOI 10.1016/S1051-0443(92)72008-9
[9]  
GREENFIELD LJ, 1977, ANN SURG, V185, P692, DOI 10.1097/00000658-197706000-00012
[10]   SUBCUTANEOUS LOW-MOLECULAR-WEIGHT HEPARIN COMPARED WITH CONTINUOUS INTRAVENOUS HEPARIN IN THE TREATMENT OF PROXIMAL-VEIN THROMBOSIS [J].
HULL, RD ;
RASKOB, GE ;
PINEO, GF ;
GREEN, D ;
TROWBRIDGE, AA ;
ELLIOTT, CG ;
LERNER, RG ;
HALL, J ;
SPARLING, T ;
BRETTELL, HR ;
NORTON, J ;
CARTER, CJ ;
GEORGE, R ;
MERLI, G ;
WARD, J ;
MAYO, W ;
ROSENBLOOM, D ;
BRANT, R .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (15) :975-982