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- Title
Endovascular Thrombectomy of Septic Thrombophlebitis of the Inferior Vena Cava: Case Report and Review of the Literature.
- Authors
Talaie, Tara; Drucker, Charles; Aicher, Brittany; Khalifeh, Ali; Lal, Brajesh; Sarkar, Rajabrata; Toursavadkohi, Shahab
- Abstract
We describe the cases of 2 patients who had septic thrombophlebitis and were successfully managed with endovascular thrombectomy. Patient A developed septic thrombophlebitis of the inferior vena cava after several retroperitoneal resections for metastatic renal cell carcinoma. The thrombus was successfully removed via endovascular mechanical balloon thrombectomy. Patient B was a patient with pancreatic adenocarcinoma involving the portal vein who developed a septic inferior vena cava thrombus extending from the level and beyond the renal veins, for which she underwent endovascular thrombectomy. We argue that this approach is safe and feasible. It should be considered as a supplemental treatment modality for select decompensating patients who require lifesaving interventions and have contraindications to traditional management of surgical thrombectomy or excision of the involved venous segment.
- Subjects
INFERIOR vena cava surgery; ADENOCARCINOMA; ENDOVASCULAR surgery; CATHETERIZATION; METASTASIS; PANCREATIC tumors; PORTAL vein; RENAL cell carcinoma; SEPSIS; SURGICAL complications; THROMBOPHLEBITIS; THROMBOSIS; VEIN surgery; VENA cava inferior; RENAL veins; DISEASE complications
- Publication
Vascular & Endovascular Surgery, 2018, Vol 52, Issue 8, p641
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574418779475