Percutaneous endovascular catheter aspiration thrombectomy of severe superior vena cava syndrome.
We report a combined percutaneous endovascular approach, including thrombus aspiration and catheter directed local thrombolysis, followed by systemic thrombolytic therapy to treat severe superior vena cava syndrome in a 2 and 1/2 week old infant. This procedure was performed on the fifth postoperative day after major surgery. No treatment complications were observed. The only predisposing condition for thrombosis was a central venous line. No other acquired or genetic risk factors for thrombosis could be found.
Ries
M
M
Division of Neonatology, University Hospital for Children and Adolescents, Loschgestrasse 15, 91054 Erlangen, Germany. dr.ries@kinderklinik-memmingen.de
Zenker
M
M
Girisch
M
M
Klinge
J
J
Singer
H
H
D000925:Anticoagulants / Q000627:therapeutic use; D002404:Catheterization / Q000379:methods*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D015912:Thrombolytic Therapy / Q000379:methods
D000925:Anticoagulants; D006493:Heparin