Mechanical recanalization of venous thrombosis and pulmonary embolism with the Clotbuster thrombectomy system in a 12-year-old boy

The treatment of patients with deep vein thrombosis and pulmonary embolism with contraindications for a thrombolytic therapy is a therapeutic challenge. We report on a 12 year old patient who was treated for large cell lymphoma according to NHL-BFM 95: Block AA protocol. During his therapy, he devel...

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Bibliographic Details
Published in:Zeitschrift für Kardiologie 1998-04, Vol.87 (4), p.283-287
Main Authors: Peuster, M, Bertram, H, Windhagen-Mahnert, B, Paul, T, Hausdorf, G
Format: Article
Language:ger
Subjects:
Angiography
Child
Equipment Design
Femoral Vein - diagnostic imaging
Follow-Up Studies
Humans
Lymphoma, Large-Cell, Anaplastic - complications
Lymphoma, Large-Cell, Anaplastic - therapy
Male
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - etiology
Pulmonary Embolism - therapy
Thrombectomy - instrumentation
Thrombosis - diagnostic imaging
Thrombosis - etiology
Thrombosis - therapy
Treatment Outcome
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Summary:The treatment of patients with deep vein thrombosis and pulmonary embolism with contraindications for a thrombolytic therapy is a therapeutic challenge. We report on a 12 year old patient who was treated for large cell lymphoma according to NHL-BFM 95: Block AA protocol. During his therapy, he developed a thrombosis of his right femoral vein and pulmonary embolism affecting the left segments 4, 5, 8, and 9. Because of cerebral metastasis a fibrinolytic therapy was contraindicated. Therefore, we performed a mechanical thrombectomy using the Amplatz thrombectomy device. The postinterventional scintigraphy showed a markedly improved pulmonary perfusion; dopplersonography 4 months postinterventionally showed a patent right femoral vein.
ISSN:0300-5860