An 18-year-old man with no significant past medical history presented to our hospital complaining of syncope during stair-climbing. Contrast-enhanced computed tomography (CT) showed a large amount of pulmonary emboli (Panel A, arrows). In addition, we made a diagnosis of residual deep vein thrombosis (DVT) in the left common iliac vein (Panel B, arrow). As the patient had experienced a syncopal event and the large DVT remained, we decided to insert an inferior vena cava (IVC) filter into the IVC via the right internal jugular vein to prevent fatal pulmonary thromboembolism. Anticoagulant therapy with rivaroxaban (30 mg/day) was also initiated. Detailed analysis of the coagulation...

中文翻译：

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下腔静脉滤器插入无效：下腔静脉重复的患者的一个陷阱。

一名没有明显病史的18岁男子因爬楼梯时晕厥而到我们医院就诊。造影增强CT（CT）显示大量肺栓塞（图A，箭头）。此外，我们对左common总静脉中残留的深静脉血栓形成（DVT）进行了诊断（图B，箭头）。由于患者经历了晕厥事件，并且仍然存在较大的DVT，因此我们决定通过右颈内静脉在IVC中插入下腔静脉（IVC）过滤器，以防止致命的肺血栓栓塞。还开始使用利伐沙班（30毫克/天）进行抗凝治疗。详细的凝血分析...