Prophylactic use of the Angel® Catheter in a patient with paraneoplastic syndrome scheduled for surgical tumor resection: A case report and literature review
Introductio. The Angel® catheter (BiO2 Medical Inc, San Antonio, Texas, USA) is a novel device that combines a triple lumen central venous catheter with an inferior vena cava filter for prevention of pulmonary embolism (IVC filtercatheter). Case report. We present the case of a 53- yearold male pati...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2019-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700133S.pdf |
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| author | Stamenković Dušica M. Nešković Vojislava Marjanović Ivan Tomić Aleksandar Rusović Siniša Marinković Vlastimir Bančević Vladimir Karanikolas Menelaos |
| author_facet | Stamenković Dušica M. Nešković Vojislava Marjanović Ivan Tomić Aleksandar Rusović Siniša Marinković Vlastimir Bančević Vladimir Karanikolas Menelaos |
| author_sort | Stamenković Dušica M. |
| collection | DOAJ |
| description | Introductio. The Angel® catheter (BiO2 Medical Inc, San Antonio, Texas, USA) is a novel device that combines a triple lumen central venous catheter with an inferior vena cava filter for prevention of pulmonary embolism (IVC filtercatheter). Case report. We present the case of a 53- yearold male patient with renal carcinoma and a history of recent deep venous thrombosis (DVT) on oral anticoagulation who was scheduled to undergo open radical nephrectomy. Because of concerns about the risks from documented pre-existing DVT, we decided to insert the Angel® catheter preoperatively in order to have central venous access during surgery and also to reduce the risk of perioperative pulmonary embolism. On the first postoperative day, active gastric bleeding was detected and nadroparine was stopped. Before removal of the Angel® catheter, a pre-removal cavagram revealed large thrombus mass in the catheter filter. Because of the presence of the thrombus mass, the catheter was removed surgically, after a permanent vena cava filter was inserted. Conclusion. This case suggests that the use of the Angel® IVC filter/3-lumen central catheter combination could be a reasonable option for pulmonary embolism prophylaxis in the patients at a high risk for DVT, such as the patients with malignant disease, paraneoplastic syndrome and chemotherapy who need to undergo surgery. |
| format | Article |
| id | doaj-art-ab16e6f73f0c42d898d577343ef31ae2 |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-ab16e6f73f0c42d898d577343ef31ae22025-08-20T02:20:12ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176664865210.2298/VSP170115133S0042-84501700133SProphylactic use of the Angel® Catheter in a patient with paraneoplastic syndrome scheduled for surgical tumor resection: A case report and literature reviewStamenković Dušica M.0Nešković Vojislava1Marjanović Ivan2Tomić Aleksandar3Rusović Siniša4Marinković Vlastimir5Bančević Vladimir6Karanikolas Menelaos7University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Department of Anesthesiology and Intensive Care, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Department of Anesthesiology and Intensive Care, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Department of Vascular Surgery, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Department of Vascular Surgery, Belgrade, SerbiaMilitary Medical Academy, Department of Radiology, Belgrade, SerbiaMilitary Medical Academy, Department of Vascular Surgery, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Department of Urology, Belgrade, SerbiaWashington University School of Medicine, Department of Anesthesiology, St. Louis, Missouri, USAIntroductio. The Angel® catheter (BiO2 Medical Inc, San Antonio, Texas, USA) is a novel device that combines a triple lumen central venous catheter with an inferior vena cava filter for prevention of pulmonary embolism (IVC filtercatheter). Case report. We present the case of a 53- yearold male patient with renal carcinoma and a history of recent deep venous thrombosis (DVT) on oral anticoagulation who was scheduled to undergo open radical nephrectomy. Because of concerns about the risks from documented pre-existing DVT, we decided to insert the Angel® catheter preoperatively in order to have central venous access during surgery and also to reduce the risk of perioperative pulmonary embolism. On the first postoperative day, active gastric bleeding was detected and nadroparine was stopped. Before removal of the Angel® catheter, a pre-removal cavagram revealed large thrombus mass in the catheter filter. Because of the presence of the thrombus mass, the catheter was removed surgically, after a permanent vena cava filter was inserted. Conclusion. This case suggests that the use of the Angel® IVC filter/3-lumen central catheter combination could be a reasonable option for pulmonary embolism prophylaxis in the patients at a high risk for DVT, such as the patients with malignant disease, paraneoplastic syndrome and chemotherapy who need to undergo surgery.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700133S.pdfneoplasmspara neoplastic syndromesvenous thrombosispulmonary embolism, vena cava filterscentral venous cathetersanticoagulants |
| spellingShingle | Stamenković Dušica M. Nešković Vojislava Marjanović Ivan Tomić Aleksandar Rusović Siniša Marinković Vlastimir Bančević Vladimir Karanikolas Menelaos Prophylactic use of the Angel® Catheter in a patient with paraneoplastic syndrome scheduled for surgical tumor resection: A case report and literature review Vojnosanitetski Pregled neoplasms para neoplastic syndromes venous thrombosis pulmonary embolism, vena cava filters central venous catheters anticoagulants |
| title | Prophylactic use of the Angel® Catheter in a patient with paraneoplastic syndrome scheduled for surgical tumor resection: A case report and literature review |
| title_full | Prophylactic use of the Angel® Catheter in a patient with paraneoplastic syndrome scheduled for surgical tumor resection: A case report and literature review |
| title_fullStr | Prophylactic use of the Angel® Catheter in a patient with paraneoplastic syndrome scheduled for surgical tumor resection: A case report and literature review |
| title_full_unstemmed | Prophylactic use of the Angel® Catheter in a patient with paraneoplastic syndrome scheduled for surgical tumor resection: A case report and literature review |
| title_short | Prophylactic use of the Angel® Catheter in a patient with paraneoplastic syndrome scheduled for surgical tumor resection: A case report and literature review |
| title_sort | prophylactic use of the angel r catheter in a patient with paraneoplastic syndrome scheduled for surgical tumor resection a case report and literature review |
| topic | neoplasms para neoplastic syndromes venous thrombosis pulmonary embolism, vena cava filters central venous catheters anticoagulants |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700133S.pdf |
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