A case report of successful intravascular shockwave lithotripsy and ad hoc directional venous atherectomy of extensive chronic femoral deep venous thrombosis

Background Conventional treatment for chronic deep venous thrombosis (DVT) is anticoagulation. However, limited interventional endovascular options exist for patients with non-healing venous ulcers secondary to chronic DVT. Case summary We present a case of 67-year-old man with severely symptomatic...

Full description

Saved in:
Bibliographic Details
Published in:European heart journal : case reports 2021-05, Vol.5 (5), p.ytab107
Main Authors: Agrawal, Yashwant, Ponna, Pramod, Zoltowska, Dominika M, Halabi, Abdul R
Format: Article
Language:English
Subjects:
Apixaban
Care and treatment
Case Report
Endarterectomy
Lithotripsy
Thrombophlebitis
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Conventional treatment for chronic deep venous thrombosis (DVT) is anticoagulation. However, limited interventional endovascular options exist for patients with non-healing venous ulcers secondary to chronic DVT. Case summary We present a case of 67-year-old man with severely symptomatic post-thrombotic syndrome (PTS) with persistent high-grade femoral DVT despite prior compressive therapy and chronic oral anticoagulation. It has been successfully treated with intravascular shockwave lithotripsy and ad hoc directional venous atherectomy facilitating subsequent mechanical thrombectomy and venoplasty. The procedure was without complication and resulted in significant clinical improvement. Discussion We believe our novel endovascular interventional approach represents a unique modality of intervention for patients with chronic DVT and PTS resistant to conventional venoplasty.
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytab107