RESUMO
This paper will deal with the role of vena cava filters in the management of venous thromboembolism. The role of medical therapy, indications and contraindications for the placement of caval filters will be discussed. An overview of the currently available filters will be given, and technical aspects, as well as complications related to the procedure will be discussed. Finally the management of patients with a filter in situ and indications for caval filter removal shall be dealt with.
Assuntos
Embolia Pulmonar/prevenção & controle , Filtros de Veia Cava , Tromboembolia Venosa/terapia , Remoção de Dispositivo , Medicina Baseada em Evidências , Humanos , Desenho de Prótese , Embolia Pulmonar/etiologia , Resultado do Tratamento , Filtros de Veia Cava/efeitos adversos , Tromboembolia Venosa/complicações , Tromboembolia Venosa/diagnósticoRESUMO
We report the case of a 35-year-old woman who has been admitted to our emergency room because of the sudden onset of a left-sided hemiparesis. The physical examination showed disseminated teleangiectases on the upper and lower lip, on the mucosal surface of the tongue and on the skin. The cerebral CT scan presented a right-sided fronto-parietal lesion, more likely an abscess, confirmed on surgical removal. A meticulous family history showed the presence of similar clinical features among several family members, raising the certainty about the presence of the Rendu-Osler-Weber disease. This case is highly instructive in emphasizing the value of taking a careful medical history and how doing it is extremely important in our daily practice.
