Long-term Follow-up for Superior Vena Cava Filter Placement

Usoh, Fred; Hingorani, Anil; Ascher, Enrico; Shiferson, Alexander; Tran, Victor; Marks, Natalie; Jacob, Theresa

doi:10.1016/j.avsg.2008.08.012

Cited by 52 publications

(22 citation statements)

References 15 publications

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“…11,12 Upper extremity deep venous thrombosis, as occurred in 3 of our patients, accounts for about 14% of all pulmonary emboli and can be precipitated by vigorous exercise, trauma, or anatomic compression, although in many patients no thrombogenic cause can be identified. 13 Anticoagulation is Venous malformation summarized in table 2 Musculoskeletal Limbs: wide hands or feet 15 Thromboembolism in patients with CLOVES syndrome can be explained, at least in part, by stagnant flow in an ectatic thoracic vein, central vein, or both. We recommend contrast-enhanced cross-sectional imaging of the chest and abdomen (with special attention to the venous anatomy) in patients with CLOVES syndrome before any invasive procedure.…”

Section: Discussionmentioning

confidence: 99%

CLOVES syndrome with thoracic and central phlebectasia: Increased risk of pulmonary embolism

Alomari

Burrows

Lee

et al. 2010

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 99%

CLOVES syndrome with thoracic and central phlebectasia: Increased risk of pulmonary embolism

Alomari

Burrows

Lee

et al. 2010

The Journal of Thoracic and Cardiovascular Surgery

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“…Its safety and effectiveness were demonstrated in small studies in which the procedure related complication rate (misplacement or migration of the filter, caval occlusion, pneumothorax, pulmonary embolism) was low. The overall mortality rate was high given the patients' comorbidities [91,92].…”

Section: Grade Commentmentioning

confidence: 99%

Upper Extremity Deep Venous Thrombosis (UEDVT)

Badr¹

2015

Intern Med

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Upper extremity Deep Venous Thrombosis (UEDVT) is frequent in the hospital, especially in the intensive care unit. It often complicates the placement of central venous catheters (CVC), notably peripherally inserted central (PICC) lines. Despite a lower rate of pulmonary embolism, UEDVT is as fatal as lower extremity DVT. This is due to its strong association with cancer. Symptoms are often absent, but systematic screening is not recommended. The best prophylaxis is good central catheter management. Pharmacological prophylaxis has questionable effectiveness in the prophylaxis of CVC-associated UEDVT. Compression ultrasonography is the first line diagnostic tool. Treatment is anticoagulation for at least 3 months. A causative central line should be removed as soon as clinically possible. Infrequently, patients with the thoracic outlet syndrome can get an effort related primary UEDVT. It is also known as the Paget-Schroetter syndrome. Along with anticoagulation, surgical referral for decompression of the thoracic outlet is then necessary. The current state of evidence on UEDVT is rather poor, due to the absence of large randomized controlled trials.

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“…33 Theoretically, though yet unproven, it is believed that patients with some degree of SVC stenosis on venogram are at a decreased risk for PE because the stenosis could potentially halt the progress of a large embolism through the stenotic vessel lumen. 34 However, any vascular stenosis can impede blood return and eventually be the cause of thrombus formation. Ideal filter placement has been described with the filter hooks within the SVC at the confluence of the right and left brachiocephalic veins with the apex of the filter directed toward the right atrium.…”

Section: Percutaneous Mechanical Thrombectomymentioning

confidence: 99%

Endovascular Management of Acute Upper Extremity Deep Venous Thrombosis and the Use of Superior Vena Cava Filters

Koury

Burke

2011

Semin intervent Radiol

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Upper extremity deep venous thrombosis (UEDVT), though less common than lower extremity DVT, is a significant problem with several possible etiologies. The incidence of UEDVT is on the rise, primarily from the increasing use of central venous access devices. However, there are other causes of UEDVT, including primary venous thrombosis (Paget-Schroetter syndrome) and hypercoagulable states associated with underlying malignancy. The morbidity and mortality associated with UEDVT is largely from pulmonary embolism and the postphlebitic syndrome. Nevertheless, many UEDVTs are asymptomatic or patients may present with nonspecific clinical symptoms; therefore, a high index of suspicion is often necessary to make a correct diagnosis. Currently, there is no standard treatment algorithm for UEDVT. Treatment options may range from systemic anticoagulation to surgical correction depending on the etiology of the thrombus, as well as the patient's associated comorbidities, life expectancy and expected quality of life following treatment.

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Long-term Follow-up for Superior Vena Cava Filter Placement

Cited by 52 publications

References 15 publications

CLOVES syndrome with thoracic and central phlebectasia: Increased risk of pulmonary embolism

CLOVES syndrome with thoracic and central phlebectasia: Increased risk of pulmonary embolism

Upper Extremity Deep Venous Thrombosis (UEDVT)

Endovascular Management of Acute Upper Extremity Deep Venous Thrombosis and the Use of Superior Vena Cava Filters

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