Pulmonary embolism: Successful treatment of floating thrombus in SFJ after vena cava filter insertion and surgical thrombectomy

Abstract

The floating venous thrombus in the common femoral vein has a high potential risk for pulmonary embolization. Clinical treatments, using anticoagulants or fibrinolytic, open thrombectomies, or thrombectomies by endovascular devices have all been used. Our case describe an obese patient affected by floating thrombus coming from GSV and diving in common femoral vein successful treated by combined both temporary vena cava insertion and open surgical thrombectomy.

Upside-down positioning of a peri-interventional cava filter during endovascular thrombectomy of a septic superior vena cava thrombosis

“… 8 , 9 Conventional temporary cava filter have been used in the SVC before, but need a second intervention for retrieval. 14 – 16 As solely, a peri-interventional embolization protection was necessary in this setting, we preferred using the peri-interventional filter over a conventional removable cava filter. Use of the Capturex® cava filter in an inverse upside-down position in the SVC has not been described before and offers the advantage of an easy and quick filter removal in the same session.…”