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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Main Authors: David M. Sherer, Mudar Dalloul, Henry James Behar, Ghadir Salame, Roy Holland, Harry Zinn, Ovadia Abulafia
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2015-05-01
Series:American Journal of Perinatology Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1551675
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spelling 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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