title: Treatment of acute inferior vena cava and iliac vein thrombosis with pharmacomechanical thrombectomy using simultaneously operating "kissing" Trellis-8 thrombolysis catheters.
abstract: OBJECTIVE
  To present a new endovascular technique for treating acute large thrombus burden in the iliocaval venous system.
  
  
  METHODS
  This method is demonstrated in a 62-year-old man with end-stage renal disease on hemodialysis who had a nonfunctioning right femoral dialysis catheter that was placed 3 month earlier. After catheter removal, venography demonstrated significant thrombus in the inferior vena cava (IVC) and both iliac veins. The patient was treated successfully using two simultaneously operating Trellis-8 thrombolysis catheters placed side-by-side in the IVC and both iliac veins in a "kissing" configuration.
  
  
  CONCLUSIONS
  This technique was able to effectively debulk acute large thrombus burden in the iliocaval system in a single session and preserve the patient's available hemodialysis access. The technique has the potential to minimize morbidity, duration of hospital stay, and overall cost of treatment.
authors: Department of Radiology, University of Alabama at Birmingham, Alabama, USA. akamel@uabmc.edu
authors: Ahmed M
authors: AM
authors: Kamel Abdel Aal
authors: Maysoon F
authors: MF
authors: Hamed
authors: Souheil
authors: S
authors: Saddekni
authors: Sherif
authors: S
authors: Osman
authors: Jessica
authors: J
authors: Zarzour
mesh_terms: D000208:Acute Disease; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D057785:Catheters; D057510:Endovascular Procedures / Q000295:instrumentation*; D004867:Equipment Design; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D007262:Infusions, Intravenous; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D006435:Renal Dialysis; D017131:Thrombectomy / Q000295:instrumentation*; D015912:Thrombolytic Therapy / Q000295:instrumentation*; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
chemical_list: D005343:Fibrinolytic Agents