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

作者：Jahromi Alireza Hamidian; Coulter Amy H; Bass Patrick III; Zhang Wayne W; Tan Tze Woei^*

来源：Vascular Medicine, 2015, 20(2): 139-142.

DOI：10.1177/1358863X14560011

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

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.

• 出版日期2015-4