Agitation thrombolysis for fresh iatrogenic IVC thrombosis in patients with Budd-Chiari syndrome

Three patients with Budd-Chiari syndrome (BCS) and fresh inferior vena cava (IVC) thrombosis were treated by agitation thrombolysis as a mechanical thrombectomy procedure and followed up by duplex ultrasonography. Agitation thrombolysis was technically and clinically successful in all patients. Infe...

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Bibliographic Details
Published in:Journal of vascular surgery 2010-09, Vol.52 (3), p.782-784
Main Authors: Ding, Peng-Xu, MD, Li, Yong-Dong, MD, PhD, Han, Xin-Wei, MD, PhD, Wu, Gang, MD
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Blood. Blood coagulation. Reticuloendothelial system
Budd-Chiari Syndrome - diagnosis
Budd-Chiari Syndrome - physiopathology
Budd-Chiari Syndrome - therapy
Catheterization - adverse effects
Female
Fibrinolytic Agents - administration & dosage
Humans
Iatrogenic Disease
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Phlebography
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thrombolytic Therapy - methods
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Duplex
Vascular Patency
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vena Cava, Inferior - diagnostic imaging
Vena Cava, Inferior - physiopathology
Venous Thrombosis - diagnosis
Venous Thrombosis - drug therapy
Venous Thrombosis - etiology
Venous Thrombosis - physiopathology
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Summary:Three patients with Budd-Chiari syndrome (BCS) and fresh inferior vena cava (IVC) thrombosis were treated by agitation thrombolysis as a mechanical thrombectomy procedure and followed up by duplex ultrasonography. Agitation thrombolysis was technically and clinically successful in all patients. Inferior vena cavagrams after the procedure showed complete resolution of the iatrogenic, fresh IVC thrombi without occurrence of pulmonary embolism. Duplex ultrasonography follow-ups after 12, 24, and 28 months, respectively, confirmed complete patency of the IVC without rethrombosis and reobstruction. The results indicate that agitation thrombolysis may be a safe and feasible approach for BCS patients with iatrogenic, fresh IVC thrombosis.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2010.02.016