CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S23-S24
DOI: 10.1055/s-0041-1730709
Abstract

Acute Upper Extremity Deep Vein Thrombosis: Effectiveness of Superior Vena Cava Filter

Sohiel Mohamed Ayman
Ain Shams university, Cairo, Alexandria, Egypt
,
Mohamed Fakhry
El Amria General Hospital, Alexandria, Egypt
,
Mohamed Nagib
Military Academy, Alexandria, Egypt
› Author Affiliations

Background: With the advent of central lines, pacemakers, and defibrillators upper extremity, deep venous thrombosis (DVT) is increasingly common. An upper extremity DVT has about 5%–10% chance of becoming a pulmonary embolism (PE). Catheter-related thrombi result in PE more frequently than primary upper extremity DVT. Several reports of fatal PE due to upper extremity DVT had been documented. Langhan and Greenfield demonstrated in 1985 that superior vena cava (SVC) filters could safely be deployed in dogs. To date, a total of 127 cases are documented in literature. Methods: Forty-two patients with acute upper extremity DVT and anticoagulation therapy from January 1, 2014, to June 30, 2015. Four patients underwent percutaneous placement of SVC filter for prevention against PE. Follow-up chest radiographs were used to detect filter migration, dislodgment, and fracture. Pulmonary pressure after filter insertion was recorded. Patients were followed up clinically for evidence of SVC syndrome and PE Results: No complications such as filter migration, dislodgment, and fracture occurred (median follow-up 12 weeks). No patients developed clinical evidence of PE or SVC syndrome (median follow-up 15 weeks). Conclusion: Percutaneous filter placement in SVC is a safe and effective method in the prevention of symptomatic PE due to acute upper extremity DVT.



Publication History

Article published online:
11 May 2021

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