Blood Being Tricky: Anticoagulation-Resistant Venous Thromboembolism (VTE)

Venous thromboembolism (VTE) is a condition in which blood clots form in the venous system of the body. It includes deep venous thrombosis (DVT) that occurs when a blood clot forms in a deep vein, more common in lower extremities, and pulmonary embolism (PE) as the clot breaks loose and travels thro...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-06, Vol.14 (6)
Main Authors: Tiperneni, Raghu, Rajamohan, Adhithya, Padappayil, Rana Prathap P, Sirpal, Vishakha, Fichadiya, Harshil
Format: Article
Language:English
Subjects:
Anticoagulants
Blood clots
Case reports
Catheters
Compression therapy
Hematology
Patients
Pulmonary arteries
Pulmonary embolisms
Quality of life
Risk factors
Thromboembolism
Thrombosis
Ultrasonic imaging
Veins & arteries
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Summary:Venous thromboembolism (VTE) is a condition in which blood clots form in the venous system of the body. It includes deep venous thrombosis (DVT) that occurs when a blood clot forms in a deep vein, more common in lower extremities, and pulmonary embolism (PE) as the clot breaks loose and travels through the bloodstream to the pulmonary arteries. VTE can result in significant morbidity and mortality. It is a preventable medical condition with the treatment being straightforward in most cases with anticoagulation and mechanical thrombectomy. Here, we discuss a rare case of a 40-year-old male with recurrent VTE that was resistant to different available therapeutic options such as direct oral anticoagulants (DOAC), vitamin k antagonists, heparin, and catheter-directed thrombolysis presenting with occlusive thrombus in the entirety of the right-sided deep venous structures, with minimal preservation of flow in the common femoral vein.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.25914