[Mechanical recanalization of venous thrombosis and pulmonary embolism with the Clotbuster thrombectomy system in a 12-year-old boy].
The treatment of patients with deep vein thrombosis and pulmonary embolism with contraindications for a thrombolytic therapy is a therapeutic challenge. We report on a 12 year old patient who was treated for large cell lymphoma according to NHL-BFM 95: Block AA protocol. During his therapy, he developed a thrombosis of his right femoral vein and pulmonary embolism affecting the left segments 4, 5, 8, and 9. Because of cerebral metastasis a fibrinolytic therapy was contraindicated. Therefore, we performed a mechanical thrombectomy using the Amplatz thrombectomy device. The postinterventional scintigraphy showed a markedly improved pulmonary perfusion; dopplersonography 4 months postinterventionally showed a patent right femoral vein.
Peuster
M
M
Abt. Kinderheilkunde III und Pädiatrische Kardiologie, Medizinische Hochschule Hannover.
Bertram
H
H
Windhagen-Mahnert
B
B
Paul
T
T
Hausdorf
G
G
D000792:Angiography; D002648:Child; D004867:Equipment Design; D005268:Femoral Vein / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006801:Humans; D017728:Lymphoma, Large-Cell, Anaplastic / Q000150:complications / Q000628:therapy; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017131:Thrombectomy / Q000295:instrumentation*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome
Mechanische Rekanalisation einer Venenthrombose und Lungenembolie mit dem Clotbuster-Thrombektomie-System bei einem 12 Jahre alten Jungen.