pharmacomechanical thrombolysis for treatment of acute dvt ... · speaker name: salman a. arain, md...
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Pharmacomechanical Thrombolysis for Treatment of Acute DVT in a Patient
with Inferior Vena Cava Atresia
Salman Arain, MD, FACC Assistant Professor of Medicine - Cardiology
University of Texas Health Sciences Center – Houston Texas, USA
LINC 2016 - Global Expert Exchange
Disclosure Speaker name: Salman A. Arain, MD
.................................................................................
I have the following potential conflicts of interest to report:
Consulting
Employment in industry
Stockholder of a healthcare company
Owner of a healthcare company
Other(s)
I do not have any potential conflict of interest
LINC 2016 - Global Expert Exchange
Case History
• 30 year old white female with no known past medical history with a 2 day history of bilateral lower extremity pain and swelling.
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A. D. C. B.
Baseline Angiogram
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A T8-9
L1-L2
Thrombosed Distal IVC
CT on Day 1
B
C
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A B
Day 2 – Initial Angio
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A. D. C. B.
Day 2 – Thrombectomy followed by IVUS
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A. B.
1. 12.0 mm
2. 9.8 mm
Thrombus
Day 2 - IVUS
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Aspirated thrombus from the right iliac veins.
A. C. B. C.
Balloon
Balloon
Trellis Wire
Day 2 – Thrombectomy
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A. D. C. B.
Day 2 - Trellis in the LLE
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A. B. C.
10 x 30 mm SMART Stent
Day 3 – Angio
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Final Angio
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Clinical Follow-up • An extensive workup for hypercoagulability and
malignancy was unremarkable.
• Patient was started on warfarin and bridged to a therapeutic INR with enoxaparin.
• The patient was discharged on day 10 at which time she could ambulate without any difficulty.
• She was asymptomatic at the time of her last follow-up (17 months).
LINC 2016 - Global Expert Exchange
Thank You
LINC 2016 - Global Expert Exchange
Pharmacomechanical Thrombolysis for Treatment of Acute DVT in a Patient
with Inferior Vena Cava Atresia
Salman Arain, MD, FACC Assistant Professor of Medicine - Cardiology
University of Texas Health Sciences Center – Houston Texas, USA
LINC 2016 - Global Expert Exchange