[Bilateral deep venous thrombosis and vena cava aplasia treated with local thrombolysis].
In this case report the treatment of a young man with bilateral iliaco-femoral DVT and vena cava aplasia is presented. The patient was treated with catheter-directed thrombolysis; the catheters were introduced in the thrombus of both legs via v. popliteae. The treatment led to almost complete thrombus resolution and no valvular incompetence at three months follow-up. In our opinion this treatment should be offered even in complex cases of acute proximal deep venous thrombosis.
Pelta
Anna-Monika
AM
Gentofte Hospital, Karkirurgisk Afdeling B, Trombosecentret, Hellerup.
Jørgensen
Maja
M
Just
Sven R Lundgren
SR
Jensen
Leif Panduro
LP
D000328:Adult; D002406:Catheterization, Peripheral; D005268:Femoral Vein / Q000000981:diagnostic imaging; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography; D015912:Thrombolytic Therapy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage; D014682:Vena Cava, Inferior / Q000002:abnormalities*; D020246:Venous Thrombosis / Q000188:drug therapy*
D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator