RT Journal Article
SR Electronic
T1 Inferior vena cava filters for HIV infected patients with pulmonary embolism and contraindications to anticoagulation
JF Sexually Transmitted Infections
JO Sex Transm Infect
FD BMJ Publishing Group Ltd
SP 395
OP 397
DO 10.1136/sti.76.5.395
VO 76
IS 5
A1 Maryam Shahmanesh
A1 Joe Brooks
A1 Penny J Shaw
A1 Robert F Miller
YR 2000
UL http://sti.bmj.com/content/76/5/395.abstract
AB Objectives: To describe the mode of presentation, interventions, and outcome of HIV infected patients with pulmonary embolism and a contraindication to anticoagulation, who were treated with a bird's nest filter. Methods: Retrospective review of case records and imaging department database at UCL Hospitals, London, UK. Results: Three patients had pulmonary embolism and contraindications to anticoagulation. Contraindications were concomitant intracerebral pathology in two patients (one also had bleeding from gastric Kaposi's sarcoma and the other was cognitively impaired with HIV associated dementia complex) and alcohol induced liver disease/binge drinking in the third patient. Anticoagulation was avoided by introducing a bird's nest filter into the inferior vena cava via the common femoral vein. During follow up (7, 8, and 21 months) no complications or recurrent pulmonary emboli occurred. Conclusion: The bird's nest inferior vena cava filter has a role in preventing further pulmonary emboli in HIV infected patients with contraindications to anticoagulation.