Medial Approach for Cystic Adventitial Disease of the Popliteal Artery

Inferior vena cava (IVC) thrombosis is often attributed to IVC filters. Here, we describe the first case of IVC filter thrombosis associated with severe acute respiratory syndrome coronavirus-2 infection in a 34-year-old male with multiple pelvic fractures. The IVC filter was initially placed prophy...

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Main Author: Hyokee Kim
Format: Article
Language:English
Published: Medrang 2022-03-01
Series:Vascular Specialist International
Online Access:https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220001
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author Hyokee Kim
author_facet Hyokee Kim
author_sort Hyokee Kim
collection DOAJ
description Inferior vena cava (IVC) thrombosis is often attributed to IVC filters. Here, we describe the first case of IVC filter thrombosis associated with severe acute respiratory syndrome coronavirus-2 infection in a 34-year-old male with multiple pelvic fractures. The IVC filter was initially placed prophylactically prior to major orthopedic trauma reconstruction complicated by silent pulmonary embolism, precluding the safe transition to therapeutic anticoagulation due to the high hemorrhagic risk from pelvic fracture fixation. This case highlights the potentially increased risk of severe complications in patients receiving vascular care if they were to contract coronavirus disease-2019 (COVID-19) in the hospital. IVC filter placement in the patient resulted in complete IVC thrombosis after he acquired COVID-19 infection. Prophylactic doses of low molecular weight heparin could not prevent this complication. However, prompt initiation of therapeutic anticoagulation with rivaroxaban led to the complete resolution of IVC thrombosis over weeks after viral negativization and discharge.
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spelling doaj.art-8b628ddcfba84e50883cc0422c3bf9652023-01-06T01:29:59ZengMedrangVascular Specialist International2288-79702288-79892022-03-013810.5758/vsi.220001vsi.220001Medial Approach for Cystic Adventitial Disease of the Popliteal ArteryHyokee Kim0Department of Surgery, Korea University Guro Hospital, Seoul, KoreaInferior vena cava (IVC) thrombosis is often attributed to IVC filters. Here, we describe the first case of IVC filter thrombosis associated with severe acute respiratory syndrome coronavirus-2 infection in a 34-year-old male with multiple pelvic fractures. The IVC filter was initially placed prophylactically prior to major orthopedic trauma reconstruction complicated by silent pulmonary embolism, precluding the safe transition to therapeutic anticoagulation due to the high hemorrhagic risk from pelvic fracture fixation. This case highlights the potentially increased risk of severe complications in patients receiving vascular care if they were to contract coronavirus disease-2019 (COVID-19) in the hospital. IVC filter placement in the patient resulted in complete IVC thrombosis after he acquired COVID-19 infection. Prophylactic doses of low molecular weight heparin could not prevent this complication. However, prompt initiation of therapeutic anticoagulation with rivaroxaban led to the complete resolution of IVC thrombosis over weeks after viral negativization and discharge.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220001
spellingShingle Hyokee Kim
Medial Approach for Cystic Adventitial Disease of the Popliteal Artery
Vascular Specialist International
title Medial Approach for Cystic Adventitial Disease of the Popliteal Artery
title_full Medial Approach for Cystic Adventitial Disease of the Popliteal Artery
title_fullStr Medial Approach for Cystic Adventitial Disease of the Popliteal Artery
title_full_unstemmed Medial Approach for Cystic Adventitial Disease of the Popliteal Artery
title_short Medial Approach for Cystic Adventitial Disease of the Popliteal Artery
title_sort medial approach for cystic adventitial disease of the popliteal artery
url https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220001
work_keys_str_mv AT hyokeekim medialapproachforcysticadventitialdiseaseofthepoplitealartery