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. 2017 Oct-Dec;16(4):314-319.
doi: 10.1590/1677-5449.005817.

Trombo flutuante em veia femoral

[Article in Portuguese]
Matheus Bertanha  1 , Rafael Elias Farres Pimenta  1 , Gustavo Muçouçah Sampaio Brandão  1 , Marcone Lima Sobreira  1 , Regina Moura  1 , Rodrigo Gibin Jaldin  1 , Paula Angeleli Bueno de Camargo  1 , Winston Bonetti Yoshida  1
Affiliations

Trombo flutuante em veia femoral

[Article in Portuguese]
Matheus Bertanha et al. J Vasc Bras. 2017 Oct-Dec.

Abstract
in English, Portuguese

Abstract: A floating venous thrombus in the femoral vein is a type of thrombus with a high potential for pulmonary embolization. However, the most appropriate management for these cases is still controversial. Clinical treatments, using anticoagulants or fibrinolytics, open thrombectomies, or thrombectomies by means of endovascular devices have all been used, although the criteria for indication of each are not yet defined. We present 3 clinical cases of floating thrombi in femoral veins with different etiologies and discuss their respective treatments and outcomes.

O trombo venoso flutuante em veia femoral é um tipo de trombo com alto potencial de embolização pulmonar. Entretanto, ainda é controversa a conduta mais apropriada nesses casos. Tratamentos clínicos com anticoagulantes ou fibrinolíticos e trombectomias abertas ou por meio de dispositivos endovasculares vêm sendo empregados ainda sem um critério de indicação bem definido. Apresentamos três casos clínicos de trombos flutuantes em veia femoral, de etiologias distintas, cujos tratamentos e respectivas evoluções serão discutidos.

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Conflict of interest statement

Conflito de interesse: Os autores declararam não haver conflitos de interesse que precisam ser informados.

Figures

Figura 1
Figura 1. Ultrassom dúplex venoso dos três casos apresentados. A) Caso 1 - Trombo flutuante em veia femoral comum esquerda; B) Caso 1 - Recanalização da veia femoral esquerda; C) Caso 2 - Trombo flutuante desde a junção safenofemoral até a veia femoral esquerda; D) Caso 2 - Recanalização completa da junção safenofemoral esquerda; E) Caso 3 - Trombo flutuante na junção safenofemoral direita; F) Caso 3 - Recanalização completa da junção safenofemoral direita. D = direito; E = esquerdo; VFC = veia femoral comum; VSM = veia safena magna.
Figure 1
Figure 1. Venous duplex ultrasound from the three cases described. A) Case 1 - Floating thrombus in the left common femoral vein; B) Case 1 - Recanalization of the left femoral vein; C) Case 2 - Floating thrombus from the saphenofemoral junction to the left femoral vein; D) Case 2 – Complete recanalization of the left saphenofemoral junction; E) Case 3 - Floating thrombus at the right saphenofemoral junction; F) Case 3 – Complete recanalization of the right saphenofemoral junction. CFV = common femoral vein; GSV = great saphenous vein; L = left; R = right.
See this image and copyright information in PMC

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