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Inferior vena cava thrombosis related to hypothermia catheter: Report of 20 consecutive cases

Show simple item record Reccius, Andrés Mercado, Pablo Vargas, Patricio Canals, Claudio Montes, José 2016-05-18T13:44:44Z 2016-05-18T13:44:44Z 2015
dc.identifier.citation Neurocritical Care, August 2015, vol. 23, n°1, p. 72-77
dc.description.abstract BACKGROUND: Temperature management using endovascular catheters is an established therapy in neurointensive care. Nonetheless, several case series have reported a high rate of thrombosis related to the use of endovascular hypothermia catheters. METHODS: As a result of a pulmonary embolism that developed in a patient after removing an inferior vena cava hypothermia catheter, we designed a clinical protocol for managing and removing these devices. First, an invasive cavography was performed before the removal of the catheter. If there was a thrombus, a cava vein filter was inserted through jugular access. After that, the catheter was removed. RESULTS: The venography found inferior vena cava thrombi in 18 of 20 consecutive patients. A concomitant ultrasonography study showed vena cava thrombosis in only three patients. A vena cava filter was inserted in all patients where thrombi were found, without any significant complication. Anticoagulation was started in all patients. No symptomatic pulmonary embolism was diagnosed until the time of discharge. CONCLUSIONS: The frequency of thrombosis related to temperature management catheters is extremely high (90 %). Furthermore, ultrasonography has a very low sensibility to detect cava vein thrombosis (16.7 %). The real meaning of our findings is unknown, but other temperature control systems could be a safer option. More studies are needed to confirm our findings.
dc.language.iso en_US
dc.publisher Neurocritical Care Society wiith Springer International Publishing AG
dc.subject Therapeutic hypothermia
dc.subject Cardiac arrest
dc.subject CoolGard
dc.subject Neurocritical care
dc.subject Venous thrombosis
dc.subject Cava vein thrombosis
dc.subject Catheter related thrombosis
dc.title Inferior vena cava thrombosis related to hypothermia catheter: Report of 20 consecutive cases
dc.type Artículo

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