Distal propulsion of vena cava umbrella by cardiac massage.
Distal propulsion of a 28 mm umbrella filter from vena cava to femoral vein occurred in a 75-year-old woman during external cardiac massage. After cardiac massage, filter position must be checked roentgenographically. Optimal management of distal migration might include placement of a second umbrella to prevent recurrent emboli and proximal migration of the dislodged umbrella.
D000368:Aged; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging; D005374:Filtration; D006336:Heart Massage / Q000009:adverse effects*; D006801:Humans; D011655:Pulmonary Embolism / Q000517:prevention & control*; D011859:Radiography; D012008:Recurrence; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging