Extensive thrombo-embolic disease in pregnancy treated with a Kimray Greenfield vena cava filter. Case report.

A case of extensive ileofemoral venous thrombosis complicating a twin pregnancy was treated with a Kimray Greenfield inferior vena caval filter to prevent embolism. This is the first report of an inferior vena caval filter being used during pregnancy. Successful management of thrombo-embolic disease in pregnancy requires accurate diagnosis and aggressive surgical management together with a standardised anticoagulant regimen.