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Procedure: Inferior vena cava filter placement Indications: Massive pulmonary embolism and left lower extremity deep venous thrombosis. Procedure: After informed consent was discussed,obtained and placed

Procedure: Inferior vena cava filter placement

Indications: Massive pulmonary embolism and left lower extremity deep venous thrombosis.

Procedure: After informed consent was discussed,obtained and placed on the chart, the patient was prepped and draped in the usual sterile fashion. This included all element of maximal sterile barrier technique. 1% Xylocaine was used for local anesthesia. Using ultrasound guidance, the right internal jugular vein was seen to be patent and was cannulated using ultrasound guidance. A catheter was placedin the proximal common iliac venous system and inferior vena cavogram was performed.The skin tract was dilated to accommodate the delivery sheath. The inferior vena cava was deployed and follow-up venogram demonstrated the filter position within the infrarenal inferior vena cava. The delivery sheath was removed and hemostasis was obtained.

Impression: Ultrasound-guided inferior vena cavogram demonstrating normal caliberr inferior vena cava with no evidence for thrombosis.

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