Peripartum Primary Prophylaxis Inferior Vena Cava Filter Placement in a Patient with Stage IV B-Cell Lymphoma Presenting with a Pathologic Femur Fracture
Abstract Background Pulmonary embolus (PE) remains a leading etiology of maternal mortality in the developed world. Increasing utilization of retrievable inferior vena cava (IVC) filter placement currently includes pregnant patients. Case A 22-year-old woman at 27 weeks...
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2015-05-01
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doaj-3eb66b0d3d71459eb35a09ec0cbb30212020-11-25T03:16:24ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052015-05-010502e129e13110.1055/s-0035-1551675Peripartum Primary Prophylaxis Inferior Vena Cava Filter Placement in a Patient with Stage IV B-Cell Lymphoma Presenting with a Pathologic Femur FractureDavid M. Sherer0Mudar Dalloul1Henry James Behar2Ghadir Salame3Roy Holland4Harry Zinn5Ovadia Abulafia6Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New YorkDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New YorkDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New YorkDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New YorkDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New YorkDepartment of Radiology, State University of New York, Downstate Medical Center, Brooklyn, New YorkDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New YorkAbstract Background Pulmonary embolus (PE) remains a leading etiology of maternal mortality in the developed world. Increasing utilization of retrievable inferior vena cava (IVC) filter placement currently includes pregnant patients. Case A 22-year-old woman at 27 weeks' gestation was diagnosed with Stage IV high-grade malignant B cell lymphoma following pathologic femur fracture. Significant risk factors for PE led to placement of primary prophylaxis IVC filter before cesarean delivery, open reduction and internal fixation of the fractured femur, and chemotherapy. Conclusion This case supports that primary prophylaxis placement of IVC filters in highly selected pregnant patients may assist in decreasing PE-associated maternal mortality.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1551675inferior vena cava filterpregnancypulmonary embolusprophylaxismetastatic lymphoma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
David M. Sherer Mudar Dalloul Henry James Behar Ghadir Salame Roy Holland Harry Zinn Ovadia Abulafia |
spellingShingle |
David M. Sherer Mudar Dalloul Henry James Behar Ghadir Salame Roy Holland Harry Zinn Ovadia Abulafia Peripartum Primary Prophylaxis Inferior Vena Cava Filter Placement in a Patient with Stage IV B-Cell Lymphoma Presenting with a Pathologic Femur Fracture American Journal of Perinatology Reports inferior vena cava filter pregnancy pulmonary embolus prophylaxis metastatic lymphoma |
author_facet |
David M. Sherer Mudar Dalloul Henry James Behar Ghadir Salame Roy Holland Harry Zinn Ovadia Abulafia |
author_sort |
David M. Sherer |
title |
Peripartum Primary Prophylaxis Inferior Vena Cava Filter Placement in a Patient with Stage IV B-Cell Lymphoma Presenting with a Pathologic Femur Fracture |
title_short |
Peripartum Primary Prophylaxis Inferior Vena Cava Filter Placement in a Patient with Stage IV B-Cell Lymphoma Presenting with a Pathologic Femur Fracture |
title_full |
Peripartum Primary Prophylaxis Inferior Vena Cava Filter Placement in a Patient with Stage IV B-Cell Lymphoma Presenting with a Pathologic Femur Fracture |
title_fullStr |
Peripartum Primary Prophylaxis Inferior Vena Cava Filter Placement in a Patient with Stage IV B-Cell Lymphoma Presenting with a Pathologic Femur Fracture |
title_full_unstemmed |
Peripartum Primary Prophylaxis Inferior Vena Cava Filter Placement in a Patient with Stage IV B-Cell Lymphoma Presenting with a Pathologic Femur Fracture |
title_sort |
peripartum primary prophylaxis inferior vena cava filter placement in a patient with stage iv b-cell lymphoma presenting with a pathologic femur fracture |
publisher |
Thieme Medical Publishers, Inc. |
series |
American Journal of Perinatology Reports |
issn |
2157-6998 2157-7005 |
publishDate |
2015-05-01 |
description |
Abstract
Background Pulmonary embolus (PE) remains a leading etiology of maternal mortality in the developed world. Increasing utilization of retrievable inferior vena cava (IVC) filter placement currently includes pregnant patients.
Case A 22-year-old woman at 27 weeks' gestation was diagnosed with Stage IV high-grade malignant B cell lymphoma following pathologic femur fracture. Significant risk factors for PE led to placement of primary prophylaxis IVC filter before cesarean delivery, open reduction and internal fixation of the fractured femur, and chemotherapy.
Conclusion This case supports that primary prophylaxis placement of IVC filters in highly selected pregnant patients may assist in decreasing PE-associated maternal mortality. |
topic |
inferior vena cava filter pregnancy pulmonary embolus prophylaxis metastatic lymphoma |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1551675 |
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