Massive DVT from the proximal IVC to the pedal vein: Our approach using aspiration mechanical thrombectomy and open surgery thrombectomy
oleh: Jacub Pandelaki, MD, PhD, Hariadi Hadibrata, MD, Ivan Sini, MD, PhD, Rajesh Kalwani, MD, Prijo Sidipratomo, MD, PhD, Heltara Ramandika, MD, Dieby Adrisyel, MD, Febian Sandra, MD, Jason Jason
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2023-05-01 |
Deskripsi
Deep venous thrombosis might present in an acute condition requiring early thrombus removal. Several endovascular and surgical approaches are available with a short treatment time and minimal complications compared to pharmacotherapies. However, due to a lack of evidence, these are not the first treatment choice for deep vein thrombosis. Our case report showed a successful multimodality treatment for an acute-on-chronic massive deep vein thrombosis from the inferior vena cava to the pedal vein. A 47-year-old with chief complaints of cold, significant swelling, and severe pain in her left leg was diagnosed with deep vein thrombosis through Doppler ultrasound and contrast-enhanced computed tomography. The patient received aspiration mechanical thrombectomy with the “kissing catheter” technique, adjunctive stent, percutaneous transluminal angioplasty, and open surgical thrombectomy by Fogarty catheter without recurrence and complication.