title: An extensive suprarenal inferior vena cava thrombosis successfully treated with catheter-directed thrombolysis in a postpartum 14-year-old girl.
abstract: We report a case of extensive early postpartum acute suprarenal inferior vena cava thrombosis in a 14-year-old girl. Management included catheter-directed-thrombolysis, aiming to save renal function and prevent fatal pulmonary embolism. Treatment decisions were mostly based on adult guidelines, as guidelines for the paediatric population are not yet available.
authors.affiliation: 1 Cardiology Department, University and Emergency Hospital, Bucharest, Romania.|2 Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: Roxana Cristina
authors.initials: RC
authors.lastname: Rimbas
authors.affiliation: 1 Cardiology Department, University and Emergency Hospital, Bucharest, Romania.
authors.forename: Simona Ionela
authors.initials: SI
authors.lastname: Călin
authors.affiliation: 3 Interventional Radiology Department, University and Emergency Hospital, Bucharest, Romania.
authors.forename: Horatiu
authors.initials: H
authors.lastname: Ionescu
authors.affiliation: 3 Interventional Radiology Department, University and Emergency Hospital, Bucharest, Romania.
authors.forename: Bogdan
authors.initials: B
authors.lastname: Dorobat
authors.affiliation: 1 Cardiology Department, University and Emergency Hospital, Bucharest, Romania.|2 Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: Dragos
authors.initials: D
authors.lastname: Vinereanu
authors.affiliation: 1 Cardiology Department, University and Emergency Hospital, Bucharest, Romania.|2 Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: Mircea
authors.initials: M
authors.lastname: Cinteza
mesh_terms: D020016:Activated Protein C Resistance / Q000150:complications / Q000235:genetics; D000208:Acute Disease; D000293:Adolescent; D000925:Anticoagulants / Q000008:administration & dosage; D002405:Catheterization, Central Venous; D000072226:Computed Tomography Angiography; D005165:Factor V / Q000235:genetics; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D007262:Infusions, Intravenous; D009154:Mutation; D010690:Phlebography / Q000379:methods; D049590:Postpartum Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000235:genetics; D018455:Protein S Deficiency / Q000150:complications / Q000235:genetics; D012307:Risk Factors; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000187:drug effects*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000235:genetics
chemical_list: D000925:Anticoagulants; D005343:Fibrinolytic Agents; C095381:factor V Leiden; D005165:Factor V; D010959:Tissue Plasminogen Activator
keywords: Children; catheter- directed thrombolysis; deep venous thrombosis; pregnancy