title: Inferior Vena Cava Filter Thrombosis in the Postoperative Neurosurgical Setting: Case Report and Review of the Literature.
abstract: There are no definitive treatment guidelines for caval-filter thrombosis in the postoperative setting. Clinical management for partial or complete postoperative inferior vena cava (IVC) occlusion relies solely on expert opinion, anecdotal evidence, and small clinical trials. As such, the primary objective of the present report is to offer a complex case of extensive IVC filter occlusion in a neurosurgical patient with past medical history significant for protein C deficiency. The presentation, unique radiological findings, management, and outcome will be discussed. No similar cases of massive IVC-occlusive disease in a thrombophilic patient early in the postoperative course following neurosurgical intervention are documented in the medical literature.
authors.affiliation: School of Medicine, Duke University Medical Center, Durham NC.
authors.forename: Daniel
authors.initials: D
authors.lastname: Loriaux
authors.affiliation: Neurosurgery, Duke University Medical Center, Durham NC.
authors.forename: Mary In-Ping Huang
authors.initials: MI
authors.lastname: Cobb
authors.affiliation: Neurosurgery , Duke University Medical Center, Durham NC.
authors.forename: Ali
authors.initials: A
authors.lastname: Zomorodi
authors.affiliation: Neurosurgery, Duke University Medical Center, Durham NC.
authors.forename: Fernando
authors.initials: F
authors.lastname: Gonzalez
authors.affiliation: Radiology, Duke University Medical Center, Durham NC.
authors.forename: Tony P
authors.initials: TP
authors.lastname: Smith
authors.affiliation: Neurosurgery, Duke University Medical Center, Durham NC.
authors.forename: Shivanand P
authors.initials: SP
authors.lastname: Lad
keywords: ivc filter; neurosurgery; postoperative complications