Life-threatening shock due to inferior vena cava filter thrombosis
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چکیده
A 72-year-old man with a history of inferior vena cava (IVC) filter (TrapEaseTM, Cordis) implantation for deep venous thrombus 3 years ago was admitted to our emergency department in shock. His systolic blood pressure was 60 mmHg, and his heart rate was 112 beats/min. Marked venous congestion appeared only in his lower body (Figure 1A). Computed tomography showed the collapsed IVC (Figure 1B). To maintain his blood pressure, fluid resuscitation from upper extremity was performed. Emergency venography revealed almost total occlusion of the IVC filter with a large thrombus (Figure 2A). Aspiration thrombectomy with an 8-Fr right Judkins guiding catheter was performed, and large red
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