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Incorrect Placement of Intracaval Prosthesis for Pulmonary Embolism
Eugene A. Gaston, MD
Framingham, Mass
JAMA. 1970;214(13):2338.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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To the Editor.—
The intracaval insertion of a filtering prosthesis has been reported to be effective in preventing pulmonary emboli.1-3 It can be inserted under local anesthesia through a small wound in the neck, an advantage in critically ill patients. The following case is reported because, by misadventure, a prosthesis was placed in the right common iliac vein. Two days later a second prosthesis was fixed in the inferior vena cava. The second prosthesis was well tolerated and its insertion corrected the technical error.
Report of a Case.—
A 72-year-old man entered the Framingham (Mass) Union Hospital after one week of abdominal discomfort. His history included recurrent duodenal ulcer, myocardial infarction, emphysema, angina pectoris, and mild diabetes. On examination the diameter of the chest was increased. The blood pressure was 184/90 mm Hg. The abdomen was moderately distended but there was no tenderness and peristalsis was present. X-ray films
. . . [Full Text PDF of this Article]
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