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Septic thrombosis of the inferior vena cava treated with percutaneous mechanical thrombectomy
Mark C Burgmans1, Johannes H Rommes, Peter E Spronk
1Department of Radiology, Gelre Hospitals, site Lukas, Albert Schweitzerlaan 31, 7334 DZ Apeldoorn, The Netherlands.
Abstract:
The present report describes a patient with septic thrombosis of the inferior vena cava (IVC) related to a subhepatic abscess adjacent to the IVC. Despite prolonged antimicrobial therapy and systemic anticoagulation, sepsis and septic embolism persisted while the size of the thrombus increased. Percutaneous mechanical thrombectomy was performed, resulting in removal of the infected thrombus and complete clinical recovery.
Insights
Septic thrombosis of the inferior vena cava (IVC) can be challenging to treat. Mechanical thrombectomy successfully removed infected thrombus, leading to full patient recovery.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Infectious Diseases
Background:
- Septic thrombosis of the inferior vena cava (IVC) is a rare but serious condition.
- It is often associated with contiguous infections, such as subhepatic abscesses.
Observation:
- A patient presented with septic thrombosis of the IVC secondary to a subhepatic abscess.
- Despite conventional treatments including antibiotics and anticoagulation, the patient's condition worsened with persistent sepsis and embolism.
Findings:
- Percutaneous mechanical thrombectomy was employed as an intervention.
- Successful removal of the infected IVC thrombus was achieved.
Implications:
- Mechanical thrombectomy offers a viable treatment option for septic IVC thrombosis.
- This approach can lead to complete clinical recovery in complex cases.
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