Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492006000100014
Jornal Vascular Brasileiro
Case Report

Implante de filtro de veia cava inferior guiado por ultra-som: relato de dois casos

Placement of inferior vena cava filter guided by ultrasound: report of two cases

Rogério Abdo Neser; Mauro Capasso Filho; Cristina Mieko de Oliveira Homa

http://dx.doi.org/10.1590/S1677-54492006000100014 J Vasc Bras, vol.5, n1, p.71-73, 2006
PDF
Downloads: 0
Views: 1228

Resumo

A instalação percutânea dos filtros de veia cava inferior é realizada, tradicionalmente, em sala de angiografia ou em centro cirúrgico, utilizando-se fluoroscopia e infusão de contraste iodado para adequado posicionamento do dispositivo. Porém, para pacientes internados em unidades de tratamento intensivo com condição clínica ruim para o transporte ou com função renal deteriorada, o deslocamento e a nefrotoxicidade dos contrastes iodados são, freqüentemente, motivos de preocupação. Assim, a colocação, à beira do leito, de filtros de veia cava inferior guiada por ultra-som pode ser uma alternativa bastante atraente e segura para esses pacientes.

Palavras-chave

Veia cava inferior, filtros de veia cava, trombose venosa, ultra-sonografia de intervenção

Abstract

The percutaneous placement of inferior vena cava filters is traditionally carried out in angiosuite or operating room using fluoroscopy and infusion of iodinated contrast for proper positioning of the device. However, for patients hospitalized in intensive care units under poor conditions for transportation, and for patients with impaired renal function, their displacement and the nephrotoxicity of the iodinated contrast agents are frequently matters of concern. Thus, the bedside placement of inferior vena cava filters guided by ultrasound may be a reasonably safe and attractive alternative for these patients.

Keywords

Inferior vena cava, vena cava filters, venous thrombosis, interventional ultrasonography

References

Buller HR, Agnelli G, Hull RD, Hyers TM, Prins MH, Raskob GE. Antithrombotic therapy for venous thromboembolic disease: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004;126(^s3):401S-28S.

Conners MS, Becker S, Guzman RJ. Duplex scan-directed placement of inferior vena cava filters: a five-year institutional experience. J Vasc Surg. 2002;35:286-91.

Szem JW, Hydo LJ, Fischer E, Kapur S, Klemperer J, Barie PS. High-risk intrahospital transport of critically ill patients: safety and outcome of the necessary "road trip". Crit Care Med. 1995;23:1660-6.

Stearley HE. Patients' outcomes: intrahospital transportation and monitoring of critically ill patients by a specially trained ICU nursing staff. Am J Crit Care. 1998;7:282-7.

Corriere MA, Passman MA, Guzman RJ, Dattilo JB, Naslund TC. Comparison of bedside transabdominal duplex ultrasound versus contrast venography for inferior vena cava filter placement: what is the best imaging modality?. Ann Vasc Surg. 2005;19:229-34.

Neuzil DF, Garrard CL, Berkman RA, Pierce R, Naslund TC. Duplex-directed vena caval filter placement: report of initial experience. Surgery. 1998;123:470-4.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5dea4a050e8825ce192afa9e jvb Articles
Links & Downloads
1677-7301 (Electronic)
J Vasc Bras ©2024 All rights reserved.

J Vasc Bras

Share this page
Page Sections