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Vol. 46. Issue 9.
Pages 542-543 (September 2022)
Vol. 46. Issue 9.
Pages 542-543 (September 2022)
Images in Intensive Medicine
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Inferior vena cava obstruction due to complete thrombosis of the filtering device
Obstrucción de la vena cava inferior por trombosis completa del dispositivo de filtración
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M. Iturbe-Rementería
Corresponding author
, J.M. Luciano-Sánchez, N. Ruiz-Cañas
Servicio de Medicina Intensiva, Hospital Santiago Apóstol, Vitoria-Gasteiz, Araba, Spain
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A 34-year-old male with no relevant disease history was admitted due to right subsegmental pulmonary thromboembolism, abdominal adenopathies suggestive of abdominal-peritoneal tuberculosis and necrotic-hemorrhagic pancreatitis. Orotracheal intubation proved necessary due to severe hypoxemic respiratory failure. An inferior vena cava filter was placed due to the contraindication of anticoagulation. Echo-doppler of the lower extremities evidenced bilateral deep vein thrombosis; intermittent pneumatic cuff compression was thus discarded. Targeted resuscitation with pulse contour analysis and transthoracic ultrasound was performed, though the clinical course proved catastrophic, with the development of refractory multiorgan dysfunction syndrome, obstructive shock, severe lactacidemia metabolic acidosis despite very high dose vasopressors, and oligoanuric renal failure. The necropsy study indicated “inferior vena cava obstruction secondary to complete thrombosis of the filtering device” (Figs. 1 and 2).

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Figure 2
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Please cite this article as: Iturbe-Rementería M, Luciano-Sánchez JM, Ruiz-Cañas N. Obstrucción de la vena cava inferior por trombosis completa del dispositivo de filtración. Med Intensiva. 2022;46:542–543.

Copyright © 2020. Elsevier España, S.L.U. and SEMICYUC
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