J Pediatr Intensive Care 2021; 10(01): 071-074
DOI: 10.1055/s-0040-1710056
Case Report

Inferior Vena Cava Filter in Childhood Septic Deep Vein Thrombosis

Salim Aljabari
1   Department of Child Health, University of Missouri, Columbia, Missouri, United States
,
Shahzad Waheed
1   Department of Child Health, University of Missouri, Columbia, Missouri, United States
,
Ryan Davis
2   Department of Radiology, University of Missouri, Columbia, Missouri, United States
,
Amruta Padhye
1   Department of Child Health, University of Missouri, Columbia, Missouri, United States
› Author Affiliations
Funding None.

Abstract

Inferior vena cava (IVC) filter in venous thromboembolism (VTE) is an alternative to anticoagulation when the latter is contraindicated. The use of IVC filter in pediatrics continues to be rare and has not increased despite the ever-increasing rates of childhood VTE. Historically, septic VTE was regarded as a contraindication to IVC filter. Safety and efficacy of IVC filters in septic VTE have been reported in adult patients but not in pediatric patients. In this study, we reported a safe use of IVC filter in a critically ill 12-year-old patient with a large IVC thrombus and multiple pulmonary embolisms with favorable outcome.

Supplementary Material



Publication History

Received: 21 February 2020

Accepted: 23 March 2020

Article published online:
24 April 2020

© 2020. Thieme. All rights reserved.

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  • References

  • 1 Naess IA, Christiansen SC, Romundstad P, Cannegieter SC, Rosendaal FR, Hammerstrøm J. Incidence and mortality of venous thrombosis: a population-based study. J Thromb Haemost 2007; 5 (04) 692-699
  • 2 Biss TT, Brandão LR, Kahr WH, Chan AK, Williams S. Clinical features and outcome of pulmonary embolism in children. Br J Haematol 2008; 142 (05) 808-818
  • 3 Bĕlohlávek J, Dytrych V, Linhart A. Pulmonary embolism, part I: epidemiology, risk factors and risk stratification, pathophysiology, clinical presentation, diagnosis and nonthrombotic pulmonary embolism. Exp Clin Cardiol 2013; 18 (02) 129-138
  • 4 Mahajerin A, Croteau SE. Epidemiology and risk assessment of pediatric venous thromboembolism. Front Pediatr 2017; 5: 68
  • 5 Raffini L, Huang YS, Witmer C, Feudtner C. Dramatic increase in venous thromboembolism in children's hospitals in the United States from 2001 to 2007. Pediatrics 2009; 124 (04) 1001-1008
  • 6 Takemoto CM, Sohi S, Desai K. et al. Hospital-associated venous thromboembolism in children: incidence and clinical characteristics. J Pediatr 2014; 164 (02) 332-338
  • 7 McAree BJ, O'Donnell ME, Fitzmaurice GJ, Reid JA, Spence RA, Lee B. Inferior vena cava thrombosis: a review of current practice. Vasc Med 2013; 18 (01) 32-43
  • 8 Chou DW, Wu SL, Chung KM, Han SC, Cheung BM. Septic pulmonary embolism requiring critical care: clinicoradiological spectrum, causative pathogens and outcomes. Clinics (São Paulo) 2016; 71 (10) 562-569
  • 9 Oh HG, Cha SI, Shin KM. et al. Risk factors for mortality in patients with septic pulmonary embolism. J Infect Chemother 2016; 22 (08) 553-558
  • 10 Goswami U, Brenes JA, Punjabi GV, LeClaire MM, Williams DN. Associations and outcomes of septic pulmonary embolism. Open Respir Med J 2014; 8: 28-33
  • 11 DeYoung E, Minocha J. Inferior vena cava filters: guidelines, best practice, and expanding indications. Semin Intervent Radiol 2016; 33 (02) 65-70
  • 12 Blevins EM, Glanz K, Huang YS, Raffini L, Shinohara RT, Witmer C. A multicenter cohort study of inferior vena cava filter use in children. Pediatr Blood Cancer 2015; 62 (12) 2089-2093
  • 13 Greenfield LJ, Proctor MC. Vena caval filter use in patients with sepsis: results in 175 patients. Arch Surg 2003; 138 (11) 1245-1248
  • 14 Crary SE, Buchanan GR, Drake CE, Journeycake JM. Venous thrombosis and thromboembolism in children with osteomyelitis. J Pediatr 2006; 149 (04) 537-541
  • 15 Ligon JA, Journeycake JM, Josephs SC, Tareen NG, Lindsay EA, Copley LAB. Differentiation of deep venous thrombosis among children with or without osteomyelitis. J Pediatr Orthop 2018; 38 (10) e597-e603
  • 16 Altobelli MG, Quinonez RA. When should DVT be suspected in children with osteomyelitis?. Hosp Pediatr 2012; 2 (03) 167-172
  • 17 Kaufman JA, Rundback JH, Kee ST. et al. Development of a research agenda for inferior vena cava filters: proceedings from a multidisciplinary research consensus panel. J Vasc Interv Radiol 2009; 20 (06) 697-707
  • 18 Chaudry G, Padua HM, Alomari AI. The use of inferior vena cava filters in young children. J Vasc Interv Radiol 2008; 19 (07) 1103-1106
  • 19 Rottenstreich A, Bar-Shalom R, Bloom AI, Kalish Y. Endovascular infection following inferior vena cava (IVC) filter insertion. J Thromb Thrombolysis 2015; 40 (04) 452-457