Mechanical thrombectomy of iliocaval thrombosis using a protective expandable sheath.
We report a case of successful percutaneous treatment of a subacute ilio-caval venous thrombosis in a 64-year-old female patient by using a novel combination of a rotatory fragmentation device (percutaneous thrombectomy device: PTD) and large wire basket (temporary Günther basket filter) under temporary caval filter protection using an expandable sheath. Because the patient had multiple myeloma with increased risk for contrast media-induced renal failure, the therapeutic angiographic procedure was performed without iodinated contrast medium. Non-contrast-enhanced MR venography (high-resolution True FISP) confirmed the effective thrombus removal by the percutaneous mechanical thrombectomy procedure.
Truong
Tri H
TH
Department of Diagnostic Radiology, University of Technology, Pauwelsstrasse 30 D-52057 Aachen, Germany. truong@rad.rwth-aachen.de
Spuentrup
Elmar
E
Staatz
Gundula
G
Wildberger
Joachim E
JE
Schmitz-Rode
Thomas
T
Nolte-Ernsting
Claus C A
CC
Günther
Rolf W
RW
Haage
Patrick
P
D000800:Angioplasty, Balloon / Q000295:instrumentation; D002406:Catheterization, Peripheral; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007084:Iliac Vein; D018810:Magnetic Resonance Angiography / Q000379:methods; D008875:Middle Aged; D009101:Multiple Myeloma / Q000175:diagnosis / Q000628:therapy; D010690:Phlebography / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D017131:Thrombectomy / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*