Acute Pulmonary Embolism and Contraindication of Anticoagulation Bedside Implantation of a new temporary vena cava inferior filter

作者：Baumann S^*; Becher T; Jabbour C; Fastner C; Giannakopoulos K; Behnes M; Henzler T; Alonso A; Britsch S; Lossnitzer D; Borggrefe M; Akin I

来源：Medizinische Klinik-Intensivmedizin und Notfallmedizin, 2017, 112(3): 246-251.

DOI：10.1007/s00063-016-0201-9

Pulmonary embolism (PE), mostly caused by deep vein thrombosis, is a life-threatening complication in critically ill patients in the intensive care unit. A potential strategy to prevent PE in patients with contraindication for anticoagulant therapy is the implantation of a vena cava filter (VCF), to provide fast and safe PE protection against ascending thrombi. We report the case of a 56-year-old woman with an intracranial hemorrhage, who developed a PE. Because of acute contraindications for anticoagulant therapy, bedside implantation of a new VCF was performed to overcome the period of absolute contraindications for anticoagulation. After explanation, several thrombi were found on the filter.

• 出版日期2017-4