Clinical outcome of perioperative nonpermanent vena cava filter placement in patients with deep venous thrombosis or blood stasis of the vein

Ishihara, Kenji; Hiromatsu, Shinichi; Shintani, Yusuke; Kanaya, Kurando; Mikasa, Keita; Aoyagi, Shigeaki

doi:10.1007/s00595-009-3959-z

Cited by 9 publications

(11 citation statements)

References 15 publications

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“…Preoperatively, temporary inferior vena caval filter (Neuhaus Protect™, Toray Medical, Tokyo, Japan) was placed to protect against embolization during intervention. 8) Filters were deployed in standard fashion from the contralateral groin at the level of L2/L3 under fluoroscopic guidance. After that, the common femoral vein (CFV) was approached through an oblique incision in the groin.…”

Section: Hybrid Proceduresmentioning

confidence: 99%

Surgical Thrombectomy and Simultaneous Stenting for Deep Venous Thrombosis Caused by Iliac Vein Compression Syndrome (May-Thurner Syndrome)

Igari

Kudo

Toyofuku

et al. 2014

ATCS

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Section: Hybrid Proceduresmentioning

confidence: 99%

Surgical Thrombectomy and Simultaneous Stenting for Deep Venous Thrombosis Caused by Iliac Vein Compression Syndrome (May-Thurner Syndrome)

Igari

Kudo

Toyofuku

et al. 2014

ATCS

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“…Although there are reports of temporary IVC filter placement as a preoperative strategy to manage DVT, there are no clear guidelines. [7][8][9] There are many risk factors for venous thromboembolism in free flap operations, including (1) long operative times, (2) positional changes for flap harvest, and (3) suspension of anticoagulant to avoid perioperative bleeding. Even though anticoagulation for DVT/PE was initiated, complete resolution of the thrombus takes time, as it sometimes becomes organized and persists despite therapy.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 There are several reports describing temporary inferior vena cava (IVC) filter placement preoperatively to prevent PE. [7][8][9] However, standard perioperative management of DVT is unclear.…”

mentioning

confidence: 99%

Free Functional Gracilis Muscle Transfer for Reconstruction during Forearm Reimplantation in a Patient with Deep Venous Thrombosis

Morita

Nemoto

Miyabe

et al. 2018

J Reconstr Microsurg Open

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The forearm is frequently involved in extremity amputation. In cases of extremity amputation, treatment strategy includes considerations regarding the general condition of the patient, the site of the injury and severity of the tissue loss, functional prognosis, and social background.Functional free muscle transfer is a valuable tool to reconstruct the upper extremity and is indicated for late reconstruction of brachial plexus injuries, traumatic muscle loss, Volkmann ischemic contracture, and loss resulting from oncologic resection.1,2 The gracilis muscle is one of the most commonly used donor muscles for functional muscle transfer, and is ideal for the reconstruction of the flexor group. 1-4Perioperative deep venous thrombosis (DVT) is a potentially fatal complication due to the risk of pulmonary embolism (PE). 5,6 There are several reports describing temporary inferior vena cava (IVC) filter placement preoperatively to prevent PE. 7-9However, standard perioperative management of DVT is unclear.There are many factors that could lead to or exacerbate DVT/PE during free flap transfer, including the length of the operation, intraoperative position changes, and perioperative suspension of anticoagulants. We report our management strategy for a case of free gracilis muscle flap transfer for functional forearm reconstruction after traumatic amputation and reimplantation in a patient with a known DVT. Keywords► forearm amputation ► functional free muscle transfer ► deep venous thrombosis AbstractBackground Free muscle transfer is the gold standard procedure for functional upper extremity reconstruction. The gracilis muscle is one of the most commonly used donor muscles due to the reduced morbidity of its harvest.Case We performed a free gracilis muscle flap transfer for functional reconstruction of a forearm after reimplantation in a 62-year-old man with a known deep venous thrombosis (DVT).Result Perioperative DVT is a potentially fatal complication due to the risk of pulmonary embolism. There were many risk factors in this case for venous thromboembolism around the time of free flap transfer including the length of the operation, intraoperative position changes, and perioperative suspension of anticoagulants. We divided the operation into two stages to reduce operative times, chose a donor site that did not require intraoperative position changes, placed an indwelling temporary filter in the inferior vena cava preoperatively, and continued administration of anticoagulant intraoperatively.Conclusion With these measures, we safely and successfully performed free gracilis muscle transfer in a patient with DVT.

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“…11 Another timely report 12 is on the clinical outcome of perioperative nonpermanent vena cava fi lter placement in the treatment of deep venous thrombosis, a condition the seriousness of which has become increasingly apparent. Other reports include risk factor evaluation for the severely ischemic limb and fi ndings from some basic animal experiments, such as anti-inducible costimulator antibody immunotherapy for cardiac allograft rejection 13 and inhibition of intimal hyperplasia.…”

Section: Heart and Vesselsmentioning

confidence: 99%

Current status of and prospects for the English medical journal Surgery Today

Maehara

Kakeji

2010

Surg Today

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Clinical outcome of perioperative nonpermanent vena cava filter placement in patients with deep venous thrombosis or blood stasis of the vein

Abstract: Nonpermanent IVC filter insertion is perioperatively useful in surgical procedures that eliminate the compression of the vein by an excision of either the tumor or aneurysm compressing the vein.

Cited by 9 publications

References 15 publications

Surgical Thrombectomy and Simultaneous Stenting for Deep Venous Thrombosis Caused by Iliac Vein Compression Syndrome (May-Thurner Syndrome)

Surgical Thrombectomy and Simultaneous Stenting for Deep Venous Thrombosis Caused by Iliac Vein Compression Syndrome (May-Thurner Syndrome)

Free Functional Gracilis Muscle Transfer for Reconstruction during Forearm Reimplantation in a Patient with Deep Venous Thrombosis

Current status of and prospects for the English medical journal Surgery Today

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