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(Chest. 1994;106:1607-1609.)
© 1994 American College of Chest Physicians

Acute Thrombosis of a Vena Cava Filter With a Clot Above the Filter

Successful Treatment With Low-Dose Urokinase

Bernard Tardy M.D.1; Yves Page M.D.1; Fabrice Zeni M.D.1; Pierre Lafond M.D.1; Herv/l=e'/ Decousus M.D.2; and Jean Claude Bertrand M.D.1

1 From the Intensive Care Unit, Hôpital Bellevue, Chru Saint-Etienne, Saint-Etienne, France
2 From the Department of Clinical Pharmacology, Hôpital Bellevue, Chru Saint-Etienne, Saint-Etienne, France

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.

Key Words: side effect • thrombolytics • vena cava filter




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S. C. Haase, S. W. Wolk, R. M. Lampman, M. G. Sarosi, B. D. Misare, E. E. Erlandson, and W. M. Whitehouse Jr
Patient Outcomes Following Placement of a Second Inferior Vena Cava Filter: Case Reports
Vascular and Endovascular Surgery, November 1, 1998; 32(6): 633 - 637.
[Abstract] [PDF]




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