SIMULTANEONS IMPLANTATION OF CAVA FILTERS

L.S. Kokov, S.V. Kalashnikov
Department of Roentgenosurgical Methods of Diagnosis and Treatment A.V. Vishnevsky Institute of Surgery, Russian Academy of Medical Sciences,
Moscow, Russia

The purpose of the present work is to show a possibility of simultaneous implantation of Russian-made cava filters into the vena cava inferior (VCI) and vena cava superior in thrombosis of the respective venous beds. Thrombotic processes (usually seen in oncological patients) requiring insertion of filters into the both above-mentioned veins have not at all been described in Russian medical literature, with only few such cases being sporadically reported in foreign literature. The authors present herein the clinical pattern, findings of examination and treatment of a patient with an inoperable tumour of the pancreatic head with hepatic metastases, who, on postoperative day 9, was diagnosed with thrombosis of veins of the left lower limb and thrombosis of the right upper extremity veins with a floating thrombus in the VCS.

The patient was therefore subjected to simultaneous implantation of Russian-made cava filters "Zontik" (umbrella) and "Yolka" (fir) into the VCI and VCS, respectively. The postoperative period included but was not limited to comprehensive anticoagulation and disaggregant therapy. The patient was discharged two weeks after implantation of the cava filters, with manifestations of partial re-canalization of thrombus-affected venous beds.

KEY WORDS: VCI thrombosis, VCS thrombosis, implantation of cava filters into the VCI and VCS.

P. 138

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