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Transoesophageal echocardiography during removal of a caval filter in a patient at high risk of massive pulmonary thromboembolism
Author(s) -
Metzler H.,
Lammer J.,
Berger J.,
Rigler B.,
Gombotz H.
Publication year - 1992
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1992.tb04205.x
Subject(s) - medicine , thrombus , radiology , pulmonary artery , cardiology , vein , pulmonary embolism , right heart , surgery
Summary A new type of vena caval filler was to be removed from a woman who had a high risk of massive pulmonary thromboembolism because of extensive thrombus in the iliac vein incorporating the filter. The removal was performed under general anaesthesia in the cardiac operating theatre using transoesophageal echocardiography to monitor the right heart and the pulmonary artery during the critical phase of removal. The manoeuvre succeeded with only insignificant embolisation occurring, and that was identified by transoesophageal echocardiography.