This case report highlights the complex management of massive IVC filter thrombosis in a postoperative neurosurgical patient with underlying thrombophilia.
Should not change practice for postoperative IVC filter thrombosis; case leaves optimal strategies open for prospective study.
There are no definitive treatment guidelines for caval-filter thrombosis in the postoperative setting. Clinical management for partial or complete postoperative inferior vena cava (IVC) occlusion relies solely on expert opinion, anecdotal evidence, and small clinical trials. As such, the primary objective of the present report is to offer a complex case of extensive IVC filter occlusion in a neurosurgical patient with past medical history significant for protein C deficiency. The presentation, unique radiological findings, management, and outcome will be discussed. No similar cases of massive IVC-occlusive disease in a thrombophilic patient early in the postoperative course following neurosurgical intervention are documented in the medical literature.
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Loriaux et al. (2016) studied this question.
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