ArticleNeurocritical care2015
Inferior Vena Cava Thrombosis Related to Hypothermia Catheter: Report of 20 Consecutive Cases.
Article in Neurocritical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 17 citations in OpenAlex.
- Esophageal Temperature Management in Patients Suffering from Traumatic Brain Injury.Therapeutic hypothermia and temperature management · 2019Trial
- Targeted Temperature Management Using Esophageal Cooling.Therapeutic hypothermia and temperature management · 2022Article
- A warning for warming catheters: interventional radiology's role.Diagnostic and interventional radiology (Ankara, Turkey) · 2020Article
- Retrospective Analysis of Esophageal Heat Transfer for Active Temperature Management in Post-cardiac Arrest, Refractory Fever, and Burn Patients.Military medicine · 2018Article
- Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management.Journal of visualized experiments : JoVE · 2017Article
- [Catheter-related thrombosis during intravascular temperature management].Der Anaesthesist · 2016Article
- Elective surgery for liver injury and misinserted tube into the inferior vena cava associated with chest tube replacement: A case report.Acute medicine & surgeryArticle
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTemperature management using endovascular catheters is an established therapy in neurointensive care. Nonetheless, several case series have reported a high rate of thrombosis related to the use of endovascular hypothermia catheters.
methodsAs a result of a pulmonary embolism that developed in a patient after removing an inferior vena cava hypothermia catheter, we designed a clinical protocol for managing and removing these devices. First, an invasive cavography was performed before the removal of the catheter. If there was a thrombus, a cava vein filter was inserted through jugular access. After that, the catheter was removed.
resultsThe venography found inferior vena cava thrombi in 18 of 20 consecutive patients. A concomitant ultrasonography study showed vena cava thrombosis in only three patients. A vena cava filter was inserted in all patients where thrombi were found, without any significant complication. Anticoagulation was started in all patients. No symptomatic pulmonary embolism was diagnosed until the time of discharge.
conclusionsThe frequency of thrombosis related to temperature management catheters is extremely high (90 %). Furthermore, ultrasonography has a very low sensibility to detect cava vein thrombosis (16.7 %). The real meaning of our findings is unknown, but other temperature control systems could be a safer option. More studies are needed to confirm our findings.
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