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Experience with the Cardial inferior vena cava filter as prophylaxis against pulmonary embolism in pregnant women with extensive deep venous thrombosis
Author(s) -
NARAYAN HARINI,
CULLIMORE JOHN,
KRARUP K.,
THURSTON H.,
MACVICAR JOHN,
BOLIA A.
Publication year - 1992
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1992.tb13845.x
Subject(s) - medicine , pulmonary embolism , venous thrombosis , thrombosis , inferior vena cava , inferior vena cava filter , venous thromboembolism , vena cava , radiology , cardiology , surgery
Objective To report the use of the Cardial inferior vena caval filter as prophylaxis against pulmonary embolism in pregnant women with extensive iliofemoral thrombosis. Setting Leicester Royal Infirmary. Subjects Four pregnant women with extensive iliofemoral thrombosis, deemed to be at high risk of pulmonary embolism, managed over a period of one year. Technique In addition to standard full anticoagulation with heparin, the Cardial inferior vena cava filter was introduced percutaneously under local anaesthesia through the unaffected contralateral femoral vein and positioned in the inferior cava below the renal veins. Results The procedure was uncomplicated and did not compromise feto‐maternal condition. There was no evidence of pulmonary embolism after filter insertion. Conclusion The use of inferior vena cava filters should be considered as an adjunct to intravenous anticoagulation in pregnant women with extensive deep vein thrombosis of the lower limbs.