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Thorac Cardiovasc Surg 1998; 46(3): 162-164
DOI: 10.1055/s-2007-1010218
Case Report

© Georg Thieme Verlag Stuttgart · New York

Prevention of Pulmonary Embolization During Excision of an Infected Venous Thrombus

Y. Sakakibara, T. Jikuya, S. Soma1 , H. Kikuchi1
  • Department of Surgery, University of Tsukuba, Tsukuba, Japan
  • 1Department of Plastic Surgery and Internal Medicine, Tsukuba Gakuen Hospital, Tsukuba, Japan
Further Information

Publication History

1998

Publication Date:
19 March 2008 (online)

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Abstract

We describe the case of a 64-year-old woman with an iatrogenic pseudoaneurysm, arteriovenous fistula, and thrombotic occlusion of the right femoral vein with Staphylococcus aureus infection resistant to methicillin as complications of femoral catheterization for hemodialysis access. A temporary caval filter was introduced just prior to operation and kept in place for 4 days. An infected thrombus was captured and removed with a filter-catheter device. The placement of a temporary caval filter should be considered for prevention of pulmonary embolism in patients with infected venous thrombosis which requires surgical thrombectomy.

Key words

Temporary caval filter - Infected venous thrombus - Hemodialysis access - Pulmonary embolism - Methicillin resistant Staphylococcus aureus