Abstract:
Objective To discuss the safety and effectiveness of superior vena cava filter(SVCF) placement in cancer patients with upper extremity deep vein thrombosis(UEDVT).
Methods Retrospective analysis of the data from 20 cancer patients with UEDVT was conducted.Of the 20 patients, 6 had lung cancer, 4 had gastric cancer, and 2 had breast cancer.The remaining eight cases were ovarian cancer, pancreatic cancer, nasopharyngeal carcinoma, leukemia, malignant lymphoma, esophageal cancer, gastric cardia cancer, and metastasis to the neck after surgery for thymoma.
Results The SVCF was successfully implanted in all patients.The deep-vein catheter was successfully removed from the patients who underwent deep venous catheterization without surgical complications.Complications such as post-operative asymptomatic pulmonary embolism, filter migration, and superior vena cava syndrome did not occur in any of the cases within the 6 months to 24 months of follow up.
Conclusion Malignant tumors and deep venous catheterization are the most important causes of UEDVT.SVCF placement is safe and effective in preventing pulmonary embolism in the cancer patients with UEDVT.