{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T10:03:55Z","timestamp":1784714635872,"version":"3.55.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T00:00:00Z","timestamp":1704844800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T00:00:00Z","timestamp":1704844800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Thrombosis J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obstructive shock is extremely rare in clinical practice and is caused by acute blood flow obstruction in the central vessels of either the systemic or pulmonary circulation. Utilizing inferior vena cava filters (IVCFs) to prevent pulmonary embolism (PE) is associated with some potential complications, such as inferior vena cava thrombosis (IVCT). Shock as a direct result of IVCT is rare. We present a case of obstructive shock secondary to extensive IVCT caused by inadequate anticoagulant therapy after the placement of an IVCF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 63-year-old male patient with a traffic accident injury presented orthopaedic trauma and lower limb deep vein thrombosis (DVT). He experienced sudden and severe abdominal pain with hypotension, tachycardia, tachypnea, oliguria and peripheral oedema 5\u2009days after IVCF placement and 3\u2009days after cessation of anticoagulant therapy. Considering that empirical anti-shock treatment lasted for a while and the curative effect was poor, we finally recognized the affected vessels and focused on the reason for obstructive shock through imaging findings\u2014inferior vena cava thrombosis and occlusion. The shock state immediately resolved after thrombus aspiration. The same type of shock occurred again 6\u2009days later during transfer from the ICU to general wards and the same treatment was administered. The patient recovered smoothly in the later stage, and the postoperative follow-up at 1, 3, and 12\u2009months showed good results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case alerts clinicians that it is crucial to ensure adequate anticoagulation therapy after IVCF placement, and when a patient presents with symptoms such as hypotension, tachycardia, and lower limb and scrotal oedema postoperatively, immediate consideration should be given to the possibility of obstructive shock, and prompt intervention should be based on the underlying cause.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12959-023-00567-3","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T05:02:12Z","timestamp":1704862932000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Acute caval thrombosis leading to obstructive shock in the early post insertion period of an inferior vena cava filter: a case report and literature review"],"prefix":"10.1186","volume":"22","author":[{"given":"ShuTing","family":"Gao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YunFei","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YaTing","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YiPing","family":"Dang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YiQing","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,10]]},"reference":[{"issue":"6","key":"567_CR1","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1007\/s00068-013-0266-6","volume":"39","author":"S Decker","year":"2013","unstructured":"Decker S, Weaver MJ. Deep venous thrombosis following different isolated lower extremity fractures: what is known about prevalences, locations, risk factors and prophylaxis? Eur J Trauma Emerg Surg. 2013;39(6):591\u20138.","journal-title":"Eur J Trauma Emerg Surg."},{"key":"567_CR2","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1186\/1741-7015-12-39","volume":"12","author":"S Gudipati","year":"2014","unstructured":"Gudipati S, et al. A cohort study on the incidence and outcome of pulmonary embolism in trauma and orthopedic patients. BMC Med. 2014;12:39.","journal-title":"BMC Med."},{"key":"567_CR3","doi-asserted-by":"crossref","unstructured":"Huang J, et al. Risk factors for inferior vena cava filter thrombosis in traumatic fracture patients with deep venous thrombosis of lower extremity: A single-center experience. Vascular. 2022. p. 17085381221128056.","DOI":"10.1177\/17085381221128056"},{"issue":"4","key":"567_CR4","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1177\/000313489906500412","volume":"65","author":"W David","year":"1999","unstructured":"David W, et al. Pulmonary embolus after vena cava filter placement. Am Surg. 1999;65(4):341\u20136.","journal-title":"Am Surg."},{"key":"567_CR5","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/j.clinimag.2022.08.003","volume":"91","author":"SJ Lee","year":"2022","unstructured":"Lee SJ, et al. Prophylactic IVC filter placement in patients with severe intracranial, spinal cord, and orthopedic injuries at high thromboembolic event risk: a utilization and outcomes analysis of the National Trauma Data Bank. Clin Imaging. 2022;91:134\u201340.","journal-title":"Clin Imaging."},{"issue":"2","key":"567_CR6","doi-asserted-by":"publisher","first-page":"146","DOI":"10.4103\/JETS.JETS_22_17","volume":"11","author":"M Mohammed","year":"2018","unstructured":"Mohammed M, et al. Inferior vena cava obstruction and shock. J Emerg Trauma Shock. 2018;11(2):146\u20138.","journal-title":"J Emerg Trauma Shock."},{"issue":"16","key":"567_CR7","doi-asserted-by":"publisher","first-page":"1675","DOI":"10.1016\/j.jacc.2014.01.058","volume":"63","author":"A Muriel","year":"2014","unstructured":"Muriel A, et al. Survival effects of inferior vena cava filter in patients with acute symptomatic venous thromboembolism and a significant bleeding risk. 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Inferior vena cava thrombosis during extracorporeal membrane oxygenation: a case report and review of the literature. J Med Case Rep. 2021;15(1):529.","journal-title":"J Med Case Rep."},{"issue":"7","key":"567_CR19","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1056\/NEJM199802123380701","volume":"338","author":"H Decousus","year":"1998","unstructured":"Decousus H, et al. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prevention du Risque d'Embolie Pulmonaire par interruption cave study group. N Engl J Med. 1998;338(7):409\u201315.","journal-title":"N Engl J Med."},{"issue":"2 Suppl","key":"567_CR20","doi-asserted-by":"publisher","first-page":"e278S","DOI":"10.1378\/chest.11-2404","volume":"141","author":"Y Falck-Ytter","year":"2012","unstructured":"Falck-Ytter Y, et al. 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