Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492008000200013
Jornal Vascular Brasileiro
Case Report

Implante de filtro em veia cava inferior dupla: relato de caso e revisão da literatura

Filter placement in duplicated inferior vena cava: case report and review of the literature

Rafael Demarchi Malgor; Marcone Lima Sobreira; Priscila Nunes Boaventura; Regina Moura; Winston Bonetti Yoshida

http://dx.doi.org/10.1590/S1677-54492008000200013 J Vasc Bras, vol.7, n2, p.167-170, 2008
PDF Português
PDF English
SciELO
Downloads: 0
Views: 976

Resumo

Veia cava inferior dupla é uma variação anatômica rara cuja prevalência é de 0,2-3%. O implante de filtro de veia cava, quando indicado em casos com duplicidade da veia cava inferior, pode ser realizado de diferentes formas: em ambas as veias cavas; em uma delas, embolizando a anastomose entre ambas; em somente uma delas; ou por implante supra-renal. Relatamos um caso de trombose venosa profunda no pós-operatório de implante de prótese de quadril com contra-indicação para tratamento anticoagulante e cuja cavografia evidenciou duplicidade de veia cava inferior. O implante de filtro de veia cava inferior realizado em posição supra-renal mostrou-se opção adequada e segura.

Palavras-chave

Veia cava inferior, filtros de veia cava, anormalidades

Abstract

Double inferior vena cava is a rare anatomic variation with prevalence ranging between 0.2-3.0%. In cases of duplication, inferior vena cava filter placement options include placing it in both vena cava, coil-embolization of the intervenous segment plus placing a filter in the right inferior vena cava, or suprarenal filter placement. We report a case of deep venous thrombosis after unilateral primary total hip replacement, presenting with contraindications for anticoagulant therapy, in which cavography showed inferior vena cava duplication. Inferior vena cava filter placement was performed in the supra-renal portion and was proved to be an adequate and safe procedure.

Keywords

Vena cava inferior, vena cava filters, abnormalities

References

Bartle EJ, Pearce WH, Sun JH, Rutherford RB. Infrarenal venous anomalies and aortic surgery: avoiding vascular injury. J Vasc Surg. 1987;6:590-3.

Chuang VP, Mena CE, Hoskins PA. Congenital anomalies of the inferior vena cava: Review of embriogenesis and presentation of a simplified classification. Br J Radiol. 1974;47:206-13.

Bass JE, Redwine MD, Kramer LA, Huynh PT, Harris JH Jr. Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radiographics. 2000;20:639-52.

Sam AD 2nd, Frusha JD, McNeil JW, Olinde AJ. Repair of a blunt traumatic inferior vena cava laceration with commercially available endografts. J Vasc Surg. 2006;43:841-3.

Oderich GS, Panneton JM, Hofer J. Iatrogenic operative injuries of abdominal and pelvic veins: a potentially lethal complication. J Vasc Surg. 2004;39:931-6.

Uppal B, Flinn W, Benjamin ME. The bedside insertion of inferior vena cava filters using ultrasound guidance. Perspect Vasc Surg Endovasc Ther. 2007;19:78-84.

Passman MA, Dattilo JB, Guzman RJ, Naslund TC. Bedside placement of inferior vena cava filters by using transabdominal duplex ultrasonography and intravascular ultrasound imaging. J Vasc Surg. 2005;42:1027-32.

Neser RA, Capasso Filho M, Homa CMO. Implante de filtro de veia cava inferior guiado por ultra-som: relato de dois casos. J Vasc Bras. 2006;5:71-3.

Xue HG, Yang CY, Asakawa M, Tanuma K, Ozawa H. Duplication of the inferior vena cava associated with other variations. Anat Sci Int. 2006.

Anne N, Pallapothu R, Holmes R, Johnson MD. Inferior vena cava duplication and deep venous thrombosis: case report and review of Literature. Ann Vasc Surg. 2005;19:740-3.

Sartori MT, Zampieri P, Andres AL, Prandoni P, Motta R, Miotto D. Double vena cava filter insertion in congenital duplicated inferior vena cava: a case report and literature review. Haematologica. 2006;91(6^sSuppl):ECR30.

Matchett WJ, Jones MP, McFarland DR, Ferris EJ. Suprarenal vena caval filter placement: follow-up of four filter types in 22 patients. J Vasc Interv Radiol. 1998;9:588-93.

Putnam SG 3rd, Ball D, Cohen GS. Placement of bilateral Simon Nitinol filters for an inferior vena caval duplication through a single groin access. J Vasc Interv Radiol. 1999;10:431-3.

Greenfield LJ, Cho KJ, Proctor MC, Sobel M, Shah S, Wingo J. Late results of suprarenal Greenfield vena cava filter placement. Arch Surg. 1992;127:969-73.

McIntosh S, Brautigam R, Gross R. Duplicate inferior vena cava. J Trauma. 2006;61:235.

Decousus H, Leizorovicz A, Parent F. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. N Engl J Med. 1998;338:409-15.

Baglin TP, Brush J, Streiff M. Guidelines on use of vena cava filters. Br J Haematol. 2006;134:590-5.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddd6eee0e8825a2611da3e9 jvb Articles
1677-7301 (Electronic)
J Vasc Bras ©2024 All rights reserved.

J Vasc Bras

Share this page
Page Sections