Quinn Erina, Arndt Mary, Capanegro James, Sherard Douglass
Lake Erie College of Osteopathic Medicine, Bradenton, FL, USA.
McClow, Clark and Berk Radiologists, Jacksonville, FL, USA.
Radiol Case Rep. 2021 Apr 10;16(6):1433-1437. doi: 10.1016/j.radcr.2021.03.043. eCollection 2021 Jun.
Pulmonary embolism is most feared sequela of a proximal deep vein thrombosis (DVT). Currently, first-line DVT treatment is anticoagulation to prevent post-thrombotic sequelae like pedal edema as well as a life threatening pulmonary embolism . Advanced therapy considerations for limb- or life-threatening DVT include catheter-directed thrombolysis and thrombectomy. Thrombectomy is necessary when thrombolytics are contraindicated secondary to increased bleeding risk. The authors present a DVT case treated with the mechanical thrombectomy device, ClotTriever (Inari Medical, Irvine, CA), resulting in the efficient and effective removal of thrombus with near-complete resolution of venous symptoms and prompt hospital discharge.
肺栓塞是近端深静脉血栓形成(DVT)最可怕的后遗症。目前,DVT的一线治疗是抗凝,以预防血栓形成后诸如足背水肿等后遗症以及危及生命的肺栓塞。对于肢体或生命受到威胁的DVT,高级治疗方案包括导管定向溶栓和血栓切除术。当由于出血风险增加而禁忌使用溶栓药物时,血栓切除术是必要的。作者介绍了一例使用机械血栓切除装置ClotTriever(Inari Medical,尔湾,加利福尼亚州)治疗的DVT病例,该装置有效且高效地清除了血栓,静脉症状几乎完全缓解,并使患者迅速出院。