Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.005817
Jornal Vascular Brasileiro
Therapeutic Challenge

Trombo flutuante em veia femoral

Floating thrombi in femoral veins

Matheus Bertanha, Rafael Elias Farres Pimenta, Gustavo Muçouçah Sampaio Brandão, Marcone Lima Sobreira, Regina Moura, Rodrigo Gibin Jaldin, Paula Angeleli Bueno de Camargo, Winston Bonetti Yoshida

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Resumo

O trombo venoso flutuante em veia femoral é um tipo de trombo com alto potencial de embolização pulmonar. Entretanto, ainda é controversa a conduta mais apropriada nesses casos. Tratamentos clínicos com anticoagulantes ou fibrinolíticos e trombectomias abertas ou por meio de dispositivos endovasculares vêm sendo empregados ainda sem um critério de indicação bem definido. Apresentamos três casos clínicos de trombos flutuantes em veia femoral, de etiologias distintas, cujos tratamentos e respectivas evoluções serão discutidos.

Palavras-chave

trombose venosa; trombectomia; anticoagulantes; fibrinólise; embolia pulmonar.

Abstract

A floating venous thrombus in the femoral vein is a type of thrombus with a high potential for pulmonary embolization. However, the most appropriate management for these cases is still controversial. Clinical treatments, using anticoagulants or fibrinolytics, open thrombectomies, or thrombectomies by means of endovascular devices have all been used, although the criteria for indication of each are not yet defined. We present 3 clinical cases of floating thrombi in femoral veins with different etiologies and discuss their respective treatments and outcomes.

Keywords

venous thrombosis; thrombectomy; anticoagulants; fibrinolysis; pulmonary embolism.

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