title: Combined pharmacomechanical thrombectomy for acute inferior vena cava filter thrombosis.
abstract: Inferior vena cava (IVC) filter thrombosis has been reported to occur in up to 30% of cases and is associated with significant morbidity. The optimal treatment of IVC thrombosis has not been established to date. We report a case of IVC filter thrombosis with associated vena caval obstruction successfully treated with catheter-directed thrombolysis and adjunctive mechanical thrombectomy.
authors.affiliation: Cardiology Division, Section of Vascular Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
authors.forename: Bryan P
authors.initials: BP
authors.lastname: Yan
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Kiernan
authors.forename: Vishal
authors.initials: V
authors.lastname: Gupta
authors.forename: Andrew E
authors.initials: AE
authors.lastname: Ajani
authors.forename: Robert M
authors.initials: RM
authors.lastname: Schainfeld
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D053828:Stockings, Compression; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*; D016896:Treatment Outcome; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery*
chemical_list: D000925:Anticoagulants; D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator