Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492013000100009
Jornal Vascular Brasileiro
Case report

Implante profilático e temporário de filtro de veia cava inferior no trauma

Prophylactic and temporary inferior vena cava filter implant in trauma

Fábio Augusto Cypreste Oliveira; Carlos Eduardo de Sousa Amorelli; Fábio Lemos Campedelli; Juliana Caetano Barreto; Mariana Caetano Barreto; Philippe Moreira da Silva; Fernanda Lauar Sampaio Meirelles

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Resumo

O tromboembolismo pulmonar (TEP) é importante causa de óbito no trauma e esse, na maioria das vezes, contraindica a principal farmacoterapia na prevenção e no tratamento do TEP: a anticoagulação. Relatamos um caso de paciente politraumatizado, com risco elevado de embolia pulmonar, submetido ao implante preventivo e temporário de filtro de veia cava inferior (FVC).

Palavras-chave

veia cava inferior, ferimentos e lesões, embolia pulmonar

Abstract

Pulmonary embolism (PE) is a major cause of death in trauma and that, on most cases, the main contraindication for pharmacotherapy in the prevention and treatment of PE: the anticoagulation. We report a case of multiple trauma patient at high risk of pulmonary embolism, preventive and implant subjected to temporary inferior vena cava filter (VCF).

Keywords

vena cava, inferior, wounds and injuries, pulmonary embolism

References

Dries DJ. Activation of the clotting system and complement after trauma. New Horiz. 1996;4:276-89.

Weinmann EE, Salzman EW. Deep-vein thrombosis. N Engl J Med. 1994;331:1630-41.

Geerts WH, Jay RM, Code KJ. A comparison of low-dose heparin with low-molecular-weight heparin as prophylaxis against venous thromboembolism after major trauma. N Engl J Med. 1996;335:701-7.

Winchell RJ, Hoyt DB, Walsh JC, Simons RK, Eastman AB. Risk factors associated wit pulmonary embolism despite routine prophylaxis: implications for improved protection. J Trauma. 1994;37(4):600-6.

Knudson MM, Collins JA, Goodman SB, McCrory DW. Thromboembolism following multiple trauma. J Trauma. 1992;32(1):2-11.

Carlin AM, Tyburski JG, Wilson RF, Steffes C. Prophylactic and therapeutic inferior vena cava filters to prevent pulmonary emboli in trauma patients. Arch Surg. 2002;137:521-7.

Stawicki SP, Grossman MD, Cipolla J. Deep venous thrombosis and pulmonary embolism in trauma patients: an overstatement of the problem?. Am Surg.. 2005;71:387-91.

Sevitt S, Gallagher N. Venous thrombosis and pulmonary embolism: A clinic-pathological study in injured and burned patients. Br J Surg. 1961;48:475-89.

Webb LX, Rush PT, Fuller SB, Meredith JW. Greenfield filter prophylaxis of pulmonary embolism in patients undergoing surgery for acetabular fracture. J Orthop Trauma. 1992;6:139-54.

Rosenthal D, McKinsey JF, Levy AM, Lamis PA, Clark MD. Use of Greenfield filter in patients with major trauma. Cardiovasc Surg. 1994;2:52-5.

Matous SK, Puyana JC, Castle JM. The use of the inferior vena cava filter in trauma patients. Proceedings. 1994.

Rodriguez JL, Lopez JM, Proctor MC. Early placement of prophylactic vena caval filters in injured patients at high risk for pulmonary embolism. J Trauma. 1996;40(5):797-804.

Neser RA, Capasso Filho M, Homa CMO. Implante de filtro de veia cava guiado por ultra-som: relato de dois casos. J Vasc Bras. 2006;5(1):71-3.

Coimbra R, Constantini T. Ritrievable inferior vena cava filter use in trauma: has the fever broken?. J Vasc Bras. 2009;8(3):204-6.

Geerts WH, Code KI, Jay RM, Chen E, Szalai JP. A prospective study of venous thromboembolism after major trauma. N Engl J Med. 1994;331:1601-6.

Blebea J, Wilson R, Waybill P. Deep venous thrombosis after percutaneous insertion of vena caval filters. J Vasc Surg. 1999;30(5):821-8.

Fonseca Filho VL, Oliveira FAC. Filtro de veia cava-tipos, indicações, técnica e resultados. Cirurgia vascular cirurgia endovascular angiologia. 2008:1727-38.

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