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Single-Session Treatment of Upper Extremity Deep Venous Thrombosis and Central Venous Catheter Malfunction Using the

Siddharth Agarwal1, Christopher Sosnofsky2, Jamie Saum3

  • 1Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.

Cureus
|January 25, 2021
PubMed

Insights

Upper extremity deep vein thrombosis (UEDVT) often occurs with central venous catheters (CVCs). Mechanical thrombectomy using the ClotTriever System successfully treated a patient with UEDVT and CVC malfunction, salvaging the catheter.

Area of Science:

  • Vascular Medicine
  • Interventional Radiology

Background:

  • Upper extremity deep vein thrombosis (UEDVT) is frequently associated with central venous catheter (CVC) use, particularly in cancer patients.
  • Existing treatment options for UEDVT lack consistent guidelines, necessitating individualized patient management.
  • Potential sequelae of UEDVT include post-thrombotic syndrome and pulmonary embolism.

Observation:

  • A case report details a 49-year-old female breast cancer patient presenting with UEDVT and CVC malfunction.
  • The patient underwent successful mechanical thrombectomy to address the UEDVT.
  • The ClotTriever System was utilized for the thrombectomy procedure.

Findings:

  • Mechanical thrombectomy with the ClotTriever System effectively treated the UEDVT in this patient.
  • The CVC was successfully salvaged during the same intervention session.
  • This represents the first reported use of the ClotTriever System for UEDVT with simultaneous CVC salvage.

Implications:

  • This case highlights the potential of mechanical thrombectomy with the ClotTriever System as a viable treatment for UEDVT.
  • Simultaneous CVC salvage may offer a significant benefit to patients requiring long-term venous access.
  • Further research may explore the broader application and efficacy of this approach in managing catheter-related UEDVT.

Keywords:
anti-coagulationbreast cancercatheter directed thrombolysispercutaneous mechanical thrombectomy

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