Mechanical and pharmacologic catheter-directed thrombolysis treatment of severe, symptomatic, bilateral deep vein thrombosis with congenital absence of the inferior vena cava

被引：8
作者：
Garg, Karan [1 ]
Cayne, Neal [1 ]
Jacobowitz, Glenn [1 ]
机构：
[1] NYU, Langone Med Ctr, Dept Surg, New York, NY 10016 USA
来源：
JOURNAL OF VASCULAR SURGERY | 2011年 / 53卷 / 06期
关键词：
VENOUS THROMBOSIS; INFRAHEPATIC INTERRUPTION; SURGICAL-MANAGEMENT; RISK FACTOR;
D O I：
10.1016/j.jvs.2011.02.012
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
We report the use of mechanical and pharmacologic catheter-directed thrombolysis in treating deep vein thrombosis with congenital absence of the inferior vena cava The patient presented with disabling bilateral lower extremity swelling and pain and was found to have extensive bilateral iliofemoral deep vein thromboses. Genetic testing revealed a factor V Leiden mutation. The patient undenvent thrombolysis using a Possis (MEDRAD Inc, Warrendale, Pa) catheter and overnight infusion of tissue plasminogen activator. The patient tolerated the procedure well, with prompt return to daily activities. He remains free of symptoms at 3 years on oral anticoagulation, with a patent venous architecture. (J Vase Surg 2011;53:1707-10.)
引用
收藏
页码：1707 / 1710
页数：4
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