[症例報告]一時留置型下大静脈フィルターにより肺動脈塞栓症を防止し得た2例

概要

論文の詳細を見る
We report two patients with deep vein thrombosis (DVT) of the lower limbs for which perioperative acute pulmonary embolism was successfully prevented by placement of a temporary inferior vena cava (IVC) filter. Case 1: A 48-year-old woman with a large pelvic tumor (15x 18cm) had been scheduled for surgical treatment. Preoperative computed tomography (CT) scanning revealed thrombi in the right external iliac vein that had been compressed by the tumor. A temporary IVC filter was placed percutaneously prior to surgery to prevent perioperative pulmonary embolism. A venogram obtained on the first postoperative day showed a large thrombus entrapped within the filter basket. With 5 days of thrombolytic therapy, the thrombus disappeared and the filter was removed safely. No pulmonary embolism was found by follow-up pulmonary ^<99m>Tc scintigraphy. Case 2: A 63-year-old man with a history of prostatic carcinoma was admitted for subacute cholangitis. Abdominal CT scans revealed a floating thrombus in his IVC, and lung blood per fusion scans showed multiple defects in both lung fields. After percutaneous placement of a temporary IVC filter, thrombectomy was done under local anesthesia with Fogarty balloon catheters. The IVC filter basket entrapped a large thrombus during the procedure, so thrombolytic therapy was carried out for 7 days. Post-thrombolysis pulmonary scintigrams showed no new defects. Placement of a temporary IVC filter is a useful and reliable procedure for preventing fatal penoperative pulmonary embolism in patients with proximal DVT.
琉球医学会,Ryukyu Medical Associationの論文

[症例報告]一時留置型下大静脈フィルターにより肺動脈塞栓症を防止し得た2例

スポンサーリンク

概要

著者

関連論文

スポンサーリンク