Percutaneous hydrodynamic thrombectomy for congenital deep vein thrombosis in a neonate.
A 1-day-old boy with a complete occlusive inferior vena cava and bilateral renal vein thrombus removed successfully using a hydrodynamic thrombectomy catheter is reported. Although blood flow to the inferior vena cava and bilateral renal veins was restored with no distal embolism or vascular injury, he died of bleeding complications due to fibrinolytic therapy after hydrodynamic thrombectomy. To the best of our knowledge, this is the first report of hydrodynamic thrombectomy of a neonate.
Kobayashi
T
T
Department of Cardiology, Gunma Children's Medical Center, 779 Shimohakoda, Hokkitsu, Seta-gun, Gunma, 377-8577, Japan. torukoba@nifty.com.
Kobayashi
T
T
Department of Cardiology, Gunma Children's Medical Center, 779 Shimohakoda, Hokkitsu, Seta-gun, Gunma, 377-8577, Japan.
Mayuzumi
H
H
Department of Neonatology, Gunma Children's Medical Center, 779 Shimohakoda, Hokkitsu, Seta-gun, Gunma, 377-8577, Japan.
Morikawa
A
A
Department of Pediatrics and Developmental Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 377-8511, Japan.
D000800:Angioplasty, Balloon / Q000295:instrumentation; D001780:Blood Coagulation Tests; D017809:Fatal Outcome; D006470:Hemorrhage / Q000139:chemically induced; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D007231:Infant, Newborn; D007275:Injections, Intravenous; D008297:Male; D010690:Phlebography; D012082:Renal Veins / Q000601:surgery; D012965:Sodium Chloride / Q000008:administration & dosage; D017131:Thrombectomy / Q000295:instrumentation*; D015912:Thrombolytic Therapy / Q000009:adverse effects; D014463:Ultrasonography; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage / Q000009:adverse effects; D014682:Vena Cava, Inferior / Q000601:surgery; D020246:Venous Thrombosis / Q000151:congenital* / Q000175:diagnosis
D006495:Heparin, Low-Molecular-Weight; D012965:Sodium Chloride; D014568:Urokinase-Type Plasminogen Activator