Cardiac arrhythmias from a malpositioned Greenfield filter in a traumatic quadriplegic.
A case study is presented of premature Greenfield filter discharge with intracardiac migration and resulting life-threatening arrhythmias. These arrhythmias also interfered with the patient's transition from ventilatory support via orotracheal intubation to noninvasive positive airway pressure ventilatory support methods. The patient's arrhythmias were controlled by a demand cardiac pacemaker and cardiac glycoside therapy. No anticoagulants were used. She had no further filter migration nor significant complications for 16 months after hospital discharge.
Bach
J R
JR
Department of Physical Medicine and Rehabilitation, New Jersey Medical School-UMDNJ, Newark.
Zaneuski
R
R
Lee
H
H
D000368:Aged; D001145:Arrhythmias, Cardiac / Q000209:etiology* / Q000628:therapy; D004868:Equipment Failure; D005260:Female; D006801:Humans; D011782:Quadriplegia / Q000150:complications*; D013924:Thrombophlebitis / Q000517:prevention & control; D016306:Vena Cava Filters