Agitation thrombolysis for fresh iatrogenic IVC thrombosis in patients with Budd-Chiari syndrome.
Three patients with Budd-Chiari syndrome (BCS) and fresh inferior vena cava (IVC) thrombosis were treated by agitation thrombolysis as a mechanical thrombectomy procedure and followed up by duplex ultrasonography. Agitation thrombolysis was technically and clinically successful in all patients. Inferior vena cavagrams after the procedure showed complete resolution of the iatrogenic, fresh IVC thrombi without occurrence of pulmonary embolism. Duplex ultrasonography follow-ups after 12, 24, and 28 months, respectively, confirmed complete patency of the IVC without rethrombosis and reobstruction. The results indicate that agitation thrombolysis may be a safe and feasible approach for BCS patients with iatrogenic, fresh IVC thrombosis.
Ding
Peng-Xu
PX
Department of Radiology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan Province, China.
Li
Yong-Dong
YD
Han
Xin-Wei
XW
Wu
Gang
G
D000328:Adult; D006502:Budd-Chiari Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D015912:Thrombolytic Therapy / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014654:Vascular Patency; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000503:physiopathology; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology
D005343:Fibrinolytic Agents