Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 6, Number 8, August 2015, pages 353-357

Acute Refractory Hypotension 24 Hours Post-Inferior Vena Cave Filter Insertion Complicated by Early Phlegmasia Cerulea Dolens

Figures

Figure 1.
Figure 1. Twenty-eight hours hemodynamic monitoring for mean arterial pressure (MAP, mm Hg), heart rate (HR, beats/min), central venous pressure (CVP, cm H2O) and cumulative fluid resuscitation (L).
Figure 2.
Figure 2. (a) Patient IVC below IVC filter (arrow). (b) IVC filter (arrow). (c) Complete collapse superior to the IVC filter (arrow).
Figure 3.
Figure 3. (a) Post-IVC filter insertion, with no evidence of thrombus. (b) Extensive clot burden in IVC filter, femoral and iliac veins during thrombolysis. (c) Twenty-four hours post-thrombolysis revealed ongoing left femoral occlusion and non-occlusive IVC filter thrombus.