Acute thrombosis of a vena cava filter with a clot above the filter. Successful treatment with low-dose urokinase.
Inferior vena cava thrombosis is a major complication after filter placement. The thrombus can propagate through the filter leading to a high risk of pulmonary embolism. We report such a case in a patient with a Günther filter, successfully treated with urokinase, and we discuss the efficacy and the safety of thrombolytic therapy in such situations.
Intensive Care Unit, Hôpital Bellevue, Chru Saint-Etienne, France.
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Tardy
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Zeni
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Lafond
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Decousus
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Bertrand
D000208:Acute Disease; D000368:Aged; D005260:Female; D005268:Femoral Vein; D006801:Humans; D011655:Pulmonary Embolism / Q000517:prevention & control; D012008:Recurrence; D015912:Thrombolytic Therapy / Q000379:methods*; D013927:Thrombosis / Q000188:drug therapy*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior
D014568:Urokinase-Type Plasminogen Activator