Karri Kishore, Singh Tushi, Tripathi Nishant, Sudanagunta Kavya, Yarra Pradeep
Internal Medicine, University of Kentucky, Lexington, USA.
Internal Medicine, University of Kentucky, New York, USA.
Cureus. 2021 Mar 9;13(3):e13782. doi: 10.7759/cureus.13782.
Deep venous thrombosis is a common medical diagnosis. Estimates suggest 60,000 to 100,000 deaths annually from deep venous thrombosis and related complications in the United States of America. The diagnosis is often straightforward using a combination of clinical features and ultrasonography. Once confirmed, the treatment is straightforward as well - anticoagulation. However, we might come across a case where despite the prescribed treatment, there is little clinical improvement. There could be myriad reasons for this. We wish to share our experience with one such treatment failure and how we were able to narrow down the etiology to an anatomical defect. Eventually, we were able to offer curative treatment with vessel stenting. This case refreshed our medical knowledge and we hope to do the same for our colleagues.
深静脉血栓形成是一种常见的医学诊断。据估计，在美国，每年有6万至10万人死于深静脉血栓形成及相关并发症。结合临床特征和超声检查，该诊断通常很简单。一旦确诊，治疗也很简单——抗凝治疗。然而，我们可能会遇到这样一种情况，即尽管进行了规定的治疗，但临床改善甚微。原因可能有很多。我们希望分享我们在一次这样的治疗失败中的经验，以及我们如何能够将病因缩小到解剖学缺陷。最终，我们能够通过血管支架置入术提供根治性治疗。这个病例刷新了我们的医学知识，我们希望也能为同事们带来同样的收获。
