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Off-label use of a vena caval filter in the SVC in an adolescent with upper deep vein thrombosis

Published online by Cambridge University Press:  14 December 2022

João Dias Open the ORCID record for João Dias [Opens in a new window] ,
Joana Marinho ,
Patrícia Vaz Silva ,
Sofia Simões ,
Sónia Silva  and
António Pires
João Dias*
Affiliation:
Centro Hospitalar e Universitário de Coimbra EPE, Serviço de Cardiologia Pediátrica, Portugal
Joana Marinho
Affiliation:
Centro Hospitalar e Universitário de Coimbra EPE, Serviço de Cardiologia Pediátrica, Portugal
Patrícia Vaz Silva
Affiliation:
Centro Hospitalar e Universitário de Coimbra EPE, Serviço de Cardiologia Pediátrica, Portugal
Sofia Simões
Affiliation:
Centro Hospitalar e Universitário de Coimbra EPE, Serviço de Oncologia Pediátrica, Portugal
Sónia Silva
Affiliation:
Centro Hospitalar e Universitário de Coimbra EPE, Serviço de Oncologia Pediátrica, Portugal
António Pires
Affiliation:
Centro Hospitalar e Universitário de Coimbra EPE, Serviço de Cardiologia Pediátrica, Portugal Universidade de Coimbra, Faculdade de Medicina, Coimbra, Portugal
*
Author for correspondence: Dr. J. O. Dias, Serviço DE Cardiologia Pediátrica, Hospital Pediátrico de Coimbra, Avenida, R. Dr. Afonso Romão, Coimbra, 3000-602, Portugal. Tel: +351239488700. E-mail: joaodias@chuc.min-saude.pt
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Abstract

Vena caval filters remain as a useful tool in patients with deep vein thrombosis and contraindications to anticoagulation. Although they are rarely used in paediatric patients, they have been shown to be safe and effective when used in the inferior vena cava.

In this case report, we describe the off-label use of a retrievable vena caval filter in the superior vena cava in an adolescent with acute lymphoblastic leukaemia with extensive thrombosis of the right upper neck veins as a means to reduce the risk of pulmonary embolism.

Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 8 , August 2023 , pp. 1440 - 1441
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

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