Patients with inferior vena caval filters should receive chronic thromboprophylaxis

A 32-year-old man with testicular carcinoma is diagnosed with an acute left leg deep venous thrombosis (DVT) during his fourth cycle of combination chemotherapy. Because of anticipated moderate to severe thrombocytopenia, anticoagulation is initially avoided and an inferior vena cava (IVC) filter is...

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Bibliographic Details
Published in:	The Medical clinics of North America Vol. 87; no. 6; p. 1189
Main Authors:	Gomes, Marcelo P V, Kaplan, Karen L, Deitcher, Steven R
Format:	Journal Article
Language:	English
Published:	United States 01-11-2003
Subjects:	Adult Anticoagulants - administration & dosage Antineoplastic Combined Chemotherapy Protocols - therapeutic use Carcinoma - complications Carcinoma - drug therapy Contraindications Drug Administration Schedule Filtration Humans Male Pulmonary Embolism - prevention & control Testicular Neoplasms - complications Testicular Neoplasms - drug therapy Vena Cava Filters Vena Cava, Inferior Venous Thrombosis - complications
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Summary:	A 32-year-old man with testicular carcinoma is diagnosed with an acute left leg deep venous thrombosis (DVT) during his fourth cycle of combination chemotherapy. Because of anticipated moderate to severe thrombocytopenia, anticoagulation is initially avoided and an inferior vena cava (IVC) filter is placed to prevent pulmonary embolism (PE). After completion of all chemotherapy he is deemed to be in remission and anticoagulation is begun. The optimal duration of anticoagulation in this patient is pondered.
ISSN:	0025-7125
DOI:	10.1016/S0025-7125(03)00106-8