Surgical vena cava filter retrieval in anaesthesiologist’s and surgeon’s views

Czech version

Authors: M. Horáček ^1,2; R. Fiala ³
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice, v Motole, Praha ¹; Katedra anesteziologie a intenzivní medicíny, Institut postgraduálního vzdělávání ve zdravotnictví, Praha ²; Klinika kardiovaskulární chirurgie, 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice v Motole, Praha ³
Published in: Anest. intenziv. Med., 32, 2021, č. 3, s. 168-171
Category: Case Reports

Overview

Thromboembolic disease and pulmonary embolism are major causes of morbidity and mortality. Unprovoked deep vein thrombosis can signal a serious illness. When anticoagulant therapy is contraindicated, the placement of a caval filter may be appropriate. The number of implantations has been rising, although the contribution of filters to reducing mortality has not yet been clearly demonstrated, as filters can be associated with serious complications. This case report presents management of anaesthesia and technique of surgical extraction. It is always necessary to respect differences in the condition of patients, the indication for implantation, the type of filter and the place of its placement. It is necessary to ensure the safety of patients during the procedure with possible, sudden and large blood loss.

Keywords:

vena cava filter – Renal cancer – anaesthesia

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