Huang Qianxin, Zhang Qingqiao, Xu Hao
Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu Province, China.
Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu Province, China.
Ann Vasc Surg. 2016 May;33:231.e1-4. doi: 10.1016/j.avsg.2015.11.032. Epub 2016 Mar 8.
Pulmonary embolism (PE) associated with duplicated inferior vena cava (IVC) is rare, and there are no reports of this condition treated with catheter-directed thrombolysis. We present the case of a 54-year-old man who developed massive PE caused by thrombi in a duplicated IVC that detached during transcatheter angiography. After implantation of a retrievable filter in the common IVC, the patient underwent catheter-directed thrombolysis. He was asymptomatic at discharge, with complete resolution of thrombosis and successful retrieval of the filter. The patient had an uneventful 9-month follow-up with no further complications.
与重复下腔静脉（IVC）相关的肺栓塞（PE）较为罕见，目前尚无关于采用导管定向溶栓治疗该病症的报道。我们报告一例54岁男性患者，其在经导管血管造影期间，重复IVC内的血栓脱落导致大面积PE。在总IVC植入可回收滤器后，患者接受了导管定向溶栓治疗。出院时患者无症状，血栓完全溶解，滤器成功取出。患者随访9个月，病情平稳，无进一步并发症。
