Transoesophageal echocardiography during removal of a caval filter in a patient at high risk of massive pulmonary thromboembolism.
A new type of vena caval filter was to be removed from a woman who had a high risk of massive pulmonary thromboembolism because of extensive thrombus in the iliac vein incorporating the filter. The removal was performed under general anaesthesia in the cardiac operating theatre using transoesophageal echocardiography to monitor the right heart and the pulmonary artery during the critical phase of removal. The manoeuvre succeeded with only insignificant embolisation occurring, and that was identified by transoesophageal echocardiography.
Metzler
H
H
University of Graz, Austria.
Lammer
J
J
Berger
J
J
Rigler
B
B
Gombotz
H
H
D004452:Echocardiography; D005260:Female; D005342:Fibrinolysis; D006801:Humans; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000517:prevention & control*; D016306:Vena Cava Filters / Q000009:adverse effects*