Vena caval filter placement may not always prevent fatal pulmonary embolism in patients with deep vein thrombosis and contraindications to anticoagulation.
IVC filters may fail to prevent fatal PE; this Level 5 case leaves open comparative efficacy questions.
Treatment of deep vein thrombosis and pulmonary embolic disease when full anticoagulation is absolutely or relatively contraindicated is difficult. We report on a case where the chosen treatment proved unsuccessful. Our patient had a primary intracerebral haemorrhage, complicated by a proximal deep vein thrombosis and despite placement of a vena caval filter, had multiple pulmonary emboli and died.
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A. L. Barton (2002) studied this question.
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