Upside-down positioning of a peri-interventional cava filter during endovascular thrombectomy of a septic superior vena cava thrombosis.

Rosenov, Alexander; Haine, Axel; Walti, Laura Naëmi; Capiaghi, Debora; Schindewolf, Marc; Baumgartner, Iris (2022). Upside-down positioning of a peri-interventional cava filter during endovascular thrombectomy of a septic superior vena cava thrombosis. SAGE open medical case reports, 10, 2050313X221117333. Sage 10.1177/2050313X221117333

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A 43-year-old male patient with advanced colon carcinoma presented with disseminated staphylococcus aureus bacteremia and central venous catheter associated septic thrombosis of the superior vena cava. Despite appropriate antimicrobial therapy and surgical debridement of distant foci, bacteremia persisted, so an endovascular thrombectomy was performed. Contrary to the usual application, the Capturex® peri-interventional cava filter was positioned upside down, in the direction of the blood flow, in the superior vena cava to prevent septic embolism during mechanical thrombectomy. The wall-adherent septic thrombus was mechanically detached using a RAT fragmentation basket® followed by Aspirex® rotational thrombectomy. Final phlebography showed complete thrombus removal. Small thrombus fragments could be demonstrated in the filter after retrieval. The adapted technique of a reverse positioning of the Capturex® filter in the superior vena cava seems feasible and effective.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Angiology
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology

UniBE Contributor:

Rosenov, Alexander, Haine, Axel, Walti, Laura Naëmi, Capiaghi, Debora, Schindewolf, Marc, Baumgartner, Iris

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2050-313X

Publisher:

Sage

Language:

English

Submitter:

Pubmed Import

Date Deposited:

16 Aug 2022 11:24

Last Modified:

05 Dec 2022 16:22

Publisher DOI:

10.1177/2050313X221117333

PubMed ID:

35966122

Uncontrolled Keywords:

Cava filter endovascular therapy septic thrombophlebitis septic thrombosis superior vena cava thrombectomy

BORIS DOI:

10.48350/172045

URI:

https://boris.unibe.ch/id/eprint/172045

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