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Stenosis of the Inferior Vena Cava: A Murine Model of Deep Vein Thrombosis
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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
PubMed

Insights

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.

Keywords:
IVC filterpediatric DVTseptic DVT

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