Pandelaki Jacub, Hadibrata Hariadi, Sini Ivan, Kalwani Rajesh, Sidipratomo Prijo, Ramandika Heltara, Adrisyel Dieby, Sandra Febian, Jason Jason
Department of Radiology, Dr Cipto Mangunkusumo National General Hospital-Faculty of Medicine, Universitas Indonesia, Jl. Pangeran Diponegoro No.71, Kenari, Senen, Central Jakarta, Jakarta, Indonesia.
Bunda General Hospital, Jakarta, Indonesia.
Radiol Case Rep. 2023 Mar 5;18(5):1830-1837. doi: 10.1016/j.radcr.2023.02.021. eCollection 2023 May.
Deep venous thrombosis might present in an acute condition requiring early thrombus removal. Several endovascular and surgical approaches are available with a short treatment time and minimal complications compared to pharmacotherapies. However, due to a lack of evidence, these are not the first treatment choice for deep vein thrombosis. Our case report showed a successful multimodality treatment for an acute-on-chronic massive deep vein thrombosis from the inferior vena cava to the pedal vein. A 47-year-old with chief complaints of cold, significant swelling, and severe pain in her left leg was diagnosed with deep vein thrombosis through Doppler ultrasound and contrast-enhanced computed tomography. The patient received aspiration mechanical thrombectomy with the "kissing catheter" technique, adjunctive stent, percutaneous transluminal angioplasty, and open surgical thrombectomy by Fogarty catheter without recurrence and complication.
深静脉血栓形成可能表现为需要早期清除血栓的急性病症。与药物治疗相比，有几种血管内和外科治疗方法，治疗时间短且并发症少。然而，由于缺乏证据，这些并非深静脉血栓形成的首选治疗方法。我们的病例报告显示了一种成功的多模式治疗方法，用于治疗从下腔静脉到足部静脉的急性慢性大面积深静脉血栓形成。一名47岁女性，主要症状为左腿发冷、明显肿胀和剧痛，通过多普勒超声和增强计算机断层扫描诊断为深静脉血栓形成。该患者接受了采用“亲吻导管”技术的抽吸机械血栓切除术、辅助支架置入、经皮腔内血管成形术以及使用Fogarty导管进行的开放式手术血栓切除术，未出现复发和并发症。
