Deep Vein Thrombosis after Femoral Arterial Access: Pathophysiologic and Therapeutic Challenges

被引:3
作者
Harmon, Evan [1 ]
Lee, Yoo Jin [1 ]
Mazimba, Sula [1 ]
Singh, Kanwar [1 ]
Sharma, Aditya [1 ]
Kwon, Younghoon [1 ]
机构
[1] Univ Virginia Hlth Syst, Charlottesville, VA 22903 USA
关键词
VASCULAR CLOSURE DEVICES; MANUAL COMPRESSION; CORONARY; ANGIOGRAPHY;
D O I
10.1155/2019/1849256
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Deep vein thrombosis (DVT) after femoral arterial access is a rare complication of left heart catheterization (LHC). The reasons for paradoxical venous clot formation after arterial access are identifiable in some cases but less clear in others. Here, we present one case of provoked DVT after femoral access followed by a second case in which clot formation appears to be spontaneous. Additionally, though each of the patients presented here demonstrated thrombus resolution, only one received anticoagulation. These cases highlight the complex pathophysiology of DVT following femoral arterial access and the challenges of management strategy selection.
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