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Inferior Vena Cava Filter in Childhood Septic Deep Vein Thrombosis
Salim Aljabari1, Shahzad Waheed1, Ryan Davis2
1Department of Child Health, University of Missouri, Columbia, Missouri, United States.
Journal of Pediatric Intensive Care
|February 15, 2021
Summary
Inferior vena cava (IVC) filters can be safely used in children with septic venous thromboembolism (VTE) when anticoagulation is not possible. This case report highlights a favorable outcome in a critically ill pediatric patient.
Area of Science:
- Pediatric critical care medicine
- Vascular interventions
- Thromboembolic disease management
Background:
- Inferior vena cava (IVC) filters are an alternative to anticoagulation for venous thromboembolism (VTE) when contraindicated.
- Pediatric IVC filter use remains infrequent despite rising childhood VTE rates.
- Septic VTE was historically a contraindication for IVC filter placement.
Observation:
- A critically ill 12-year-old patient presented with extensive IVC thrombus and multiple pulmonary emboli.
- Anticoagulation was contraindicated due to the patient's septic condition.
- An IVC filter was successfully deployed in this pediatric patient.
Findings:
- The IVC filter was used safely and effectively in a pediatric patient with septic VTE.
- The patient experienced a favorable outcome with resolution of VTE complications.
- This case suggests IVC filters may be a viable option in select pediatric septic VTE cases.
Implications:
- This case expands the understanding of IVC filter use in pediatric septic VTE.
- It supports considering IVC filters in critically ill children where anticoagulation is not feasible.
- Further research is warranted to establish safety and efficacy guidelines for pediatric IVC filter use in septic VTE.
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