Mechanical Thrombectomy of Iliocaval Thrombosis Using a Protective Expandable Sheath

Journal Article · Wed Sep 15 04:00:00 EDT 2004 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-003-0104-Z· OSTI ID:21088285

Truong, Tri H; Spuentrup, Elmar; Staatz, Gundula; Wildberger, Joachim E; Schmitz-Rode, Thomas; Nolte-Ernsting, Claus C.A.; Guenther, Rolf W; Haage, Patrick ^[1]

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1. University of Technology, Pauwelsstrasse 30 D-52057 Aachen, Department of Diagnostic Radiology (Germany)

We report a case of successful percutaneous treatment of a subacute ilio-caval venous thrombosis in a 64-year-old female patient by using a novel combination of a rotatory fragmentation device (percutaneous thrombectomy device: PTD) and large wire basket (temporary Guenther basket filter) under temporary caval filter protection using an expandable sheath. Because the patient had multiple myeloma with increased risk for contrast media-induced renal failure, the therapeutic angiographic procedure was performed without iodinated contrast medium. Non-contrast-enhanced MR venography (high-resolution True FISP) confirmed the effective thrombus removal by the percutaneous mechanical thrombectomy procedure.

• OSTI ID: 21088285
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 27; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
CONTRAST MEDIA
FAILURES
FILTERS
KIDNEYS
PATIENTS
THROMBOSIS