Thrombolysis for deep venous thrombosis associated with inferior vena cava agenesis in a young patient
Malformations of inferior vena cava (IVC) as agenesis are a rare congenital anomaly and cause of deep venous thrombosis (DVT) of lower limbs and should be investigated in young patients of unknown aetiology. Treatment with mechanical thrombectomy and thrombolysis can be considered in certain cases o...
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| Veröffentlicht in: | BMJ case reports 2019-05, Vol.12 (5), p.e229840 |
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| creator | Raymundo, Selma Regina de Oliveira Cabral, Vanessa Souza Cavalieri, Raissa Fortuna Reis Neto, Fernando |
| description | Malformations of inferior vena cava (IVC) as agenesis are a rare congenital anomaly and cause of deep venous thrombosis (DVT) of lower limbs and should be investigated in young patients of unknown aetiology. Treatment with mechanical thrombectomy and thrombolysis can be considered in certain cases of DVT, promoting rapid clot removal, and has also been shown to be an effective treatment in acute DVT. We present a case of acute lower limb DVT associated with IVC agenesis in which Alteplase thrombolysis was used and thrombus aspiration with catheter bilaterally, with subsequent angioplasty of the common and external iliac, obtaining satisfactory results. |
| doi_str_mv | 10.1136/bcr-2019-229840 |
| format | Article |
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Treatment with mechanical thrombectomy and thrombolysis can be considered in certain cases of DVT, promoting rapid clot removal, and has also been shown to be an effective treatment in acute DVT. We present a case of acute lower limb DVT associated with IVC agenesis in which Alteplase thrombolysis was used and thrombus aspiration with catheter bilaterally, with subsequent angioplasty of the common and external iliac, obtaining satisfactory results.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2019-229840</identifier><identifier>PMID: 31129644</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Acute Disease ; Adult ; Angioplasty ; Back pain ; Case reports ; Catheters ; Clinical medicine ; Computed Tomography Angiography ; Edema ; Female ; Humans ; Patients ; Phlebography ; Rare Disease ; Thrombectomy - methods ; Thromboembolism ; Thrombolytic Therapy - methods ; Thrombosis ; Treatment Outcome ; Ultrasonic imaging ; Ultrasonography, Doppler ; Veins & arteries ; Vena Cava, Inferior - abnormalities ; Vena Cava, Inferior - diagnostic imaging ; Venous Thrombosis - diagnostic imaging ; Venous Thrombosis - surgery ; Vertebrae ; Young adults</subject><ispartof>BMJ case reports, 2019-05, Vol.12 (5), p.e229840</ispartof><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b456t-caaeaf1d1657eda164c0b735bbb5febd485f105787025061eea6a0516bb9468a3</citedby><cites>FETCH-LOGICAL-b456t-caaeaf1d1657eda164c0b735bbb5febd485f105787025061eea6a0516bb9468a3</cites><orcidid>0000-0001-8705-7146</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536156/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536156/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31129644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Raymundo, Selma Regina de Oliveira</creatorcontrib><creatorcontrib>Cabral, Vanessa Souza</creatorcontrib><creatorcontrib>Cavalieri, Raissa Fortuna</creatorcontrib><creatorcontrib>Reis Neto, Fernando</creatorcontrib><title>Thrombolysis for deep venous thrombosis associated with inferior vena cava agenesis in a young patient</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Malformations of inferior vena cava (IVC) as agenesis are a rare congenital anomaly and cause of deep venous thrombosis (DVT) of lower limbs and should be investigated in young patients of unknown aetiology. 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Treatment with mechanical thrombectomy and thrombolysis can be considered in certain cases of DVT, promoting rapid clot removal, and has also been shown to be an effective treatment in acute DVT. We present a case of acute lower limb DVT associated with IVC agenesis in which Alteplase thrombolysis was used and thrombus aspiration with catheter bilaterally, with subsequent angioplasty of the common and external iliac, obtaining satisfactory results.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>31129644</pmid><doi>10.1136/bcr-2019-229840</doi><orcidid>https://orcid.org/0000-0001-8705-7146</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Acute Disease Adult Angioplasty Back pain Case reports Catheters Clinical medicine Computed Tomography Angiography Edema Female Humans Patients Phlebography Rare Disease Thrombectomy - methods Thromboembolism Thrombolytic Therapy - methods Thrombosis Treatment Outcome Ultrasonic imaging Ultrasonography, Doppler Veins & arteries Vena Cava, Inferior - abnormalities Vena Cava, Inferior - diagnostic imaging Venous Thrombosis - diagnostic imaging Venous Thrombosis - surgery Vertebrae Young adults |
| title | Thrombolysis for deep venous thrombosis associated with inferior vena cava agenesis in a young patient |
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