Mechanical thrombectomy of an infected deep venous thrombosis: a novel technique of source control in sepsis.
A young i.v. drug abuser presented with an extensive iliofemoral deep vein thrombosis and signs of severe sepsis. Subsequent investigations revealed multiple septic emboli in his lungs originating from infected thrombus in his leg. Despite systemic anti-coagulation and appropriate parenteral antibiotics, he continued to show signs of worsening acute infection. Percutaneous mechanical thrombectomy was performed successfully and resulted in an immediate improvement in his condition. In this report, we discuss the novel use of this technique for source control in a patient with septic shock secondary to infected thrombus.
East Cheshire NHS Trust, Macclesfield, UK. lutfilaiman@virgin.net
L
L
Sulaiman
J
J
Hunter
F
F
Farquharson
H
H
Reddy
D015901:Angiography, Digital Subtraction; D006801:Humans; D008297:Male; D018805:Sepsis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D015819:Substance Abuse, Intravenous / Q000150:complications; D017131:Thrombectomy / Q000379:methods*; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D055815:Young Adult