Use of a Trellis device for endovascular treatment of venous thrombosis involving a duplicated inferior vena cava.
Congenital anomalies of the inferior vena cava (IVC) are increasingly recognized with CT and venography techniques. Although many patients with IVC anomalies are asymptomatic, recent studies have suggested an association with venous thromboembolism. We report the case of a 62-year-old woman with extensive venous clot involving the infrarenal segment of a duplicated left IVC who underwent pharmacomechanical thrombectomy and tissue plasminogen activator catheter-directed thrombolysis with complete deep venous thrombosis resolution. To our knowledge this is the first reported case in the English literature of the use of a Trellis thrombectomy catheter in the setting of duplicated IVC.
Department of Radiology, Saint Luke's Hospital, University of Missouri, Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, USA. SaetteleM@umkc.edu.
Megan R
MR
Saettele
Department of Radiology, Scott & White Clinic and Hospital, Texas A&M University Health Science Center, 2401 S 31st Street, Temple, TX, 76504, USA.
John N
JN
Morelli
Department of Interventional Radiology, Saint Luke's Hospital, University of Missouri, Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, USA.
Paul
P
Chesis
Department of Interventional Radiology, Saint Luke's Hospital, University of Missouri, Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, USA.
Brandt C
BC
Wible
D057510:Endovascular Procedures / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D015912:Thrombolytic Therapy / Q000295:instrumentation* / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000628:therapy*
D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator