Pharmacomechanical thrombectomy and catheter-directed thrombolysis of acute lower extremity deep venous thrombosis in a 9-year-old boy with inferior vena cava atresia

Alireza Hamidian Jahromi, Amy H. Coulter, Patrick Bass, Wayne W. Zhang, Tze Woei Tan

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Lower extremity deep venous thrombosis (DVT) is uncommon in the pediatric population, but it can be associated with severe symptoms and potential long-term morbidity secondary to post-thrombotic syndrome. Inferior vena cava (IVC) atresia can predispose a patient to the development of extremity DVT. There is no clear consensus on optimal management of extensive extremity DVT in pediatric patients, especially in patients with IVC anomalies. We report a case of iliofemoral DVT in a 9-year-old boy with IVC atresia and presumed protein S deficiency that was treated successfully using pharmacomechanical thrombectomy and catheter-directed thrombolysis. He was maintained on long-term anticoagulation and remained symptom free at 6 months' follow-up.

Original languageEnglish (US)
Pages (from-to)139-142
Number of pages4
JournalVascular Medicine (United Kingdom)
Volume20
Issue number2
DOIs
StatePublished - Apr 4 2015
Externally publishedYes

Keywords

  • inferior vena cava atresia
  • pediatric deep venous thrombosis
  • percutaneous thrombectomy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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