Transabdominal duplex ultrasonography for bedside inferior vena cava filter placement: examples, technique, and review.
Pulmonary embolism remains an endemic challenge for public health care. The first line of treatment for venous thromboembolic disorder has been anticoagulation; however, in the absence of appropriate pharmacologic treatment, because of failure or contraindication, caval filter placement has been widely performed in the prevention of pulmonary embolism. Initially an open surgical procedure, technological advancements have allowed filter placement to be done percutaneously. Bedside filter placement in the intensive care unit with ultrasonographic imaging has been reported to be safe, effective, and reliable. In this report, we present an example, discuss our technique, and review the literature.
Amankwah
Kwame S
KS
Department of Surgery, Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University College of Medicine, Syracuse, New York 13210, USA. amankwak@upstate.edu
Seymour
Keri
K
Costanza
Michael
M
Berger
Jeremy
J
Gahtan
Vivian
V
D000063:Accidents, Traffic; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D016638:Critical Illness; D006801:Humans; D008297:Male; D015541:Off-Road Motor Vehicles; D019095:Point-of-Care Systems; D011655:Pulmonary Embolism / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D018084:Ultrasonography, Interventional; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging*; D054556:Venous Thromboembolism / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D055815:Young Adult