Use of two Greenfield caval filters to prevent recurrent pulmonary embolism in a heparin-allergic gravida

Maternal mortality may be reduced by prompt diagnosis and treatment of pulmonary embolism. A 25-year-old pregnant woman required a second Greenfield filter after developing a heparin allergy and recurrent pulmonary embolism. Heparin allergy has not been reported previously in pregnancy. A Greenfield...

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Bibliographic Details
Published in:	Obstetrics and gynecology (New York. 1953) Vol. 84; no. 4 Pt 2; p. 652
Main Authors:	Arbogast, J D, Blessed, W B, Lacoste, H, Gross, W S, Gonda, Jr, R L, Welch, R A
Format:	Journal Article
Language:	English
Published:	United States 01-10-1994
Subjects:	Adult Drug Hypersensitivity Female Heparin - immunology Humans Pregnancy Pregnancy Complications, Hematologic - prevention & control Pulmonary Embolism - prevention & control Recurrence Vena Cava Filters
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Summary:	Maternal mortality may be reduced by prompt diagnosis and treatment of pulmonary embolism. A 25-year-old pregnant woman required a second Greenfield filter after developing a heparin allergy and recurrent pulmonary embolism. Heparin allergy has not been reported previously in pregnancy. A Greenfield filter may be used in this circumstance. Extension of the thrombus cephalad to the filter can cause recurrent emboli, so deployment of a second caval filter may be an effective remedy.
ISSN:	0029-7844