Massive DVT from the proximal IVC to the pedal vein: Our approach using aspiration mechanical thrombectomy and open surgery thrombectomy

• DOI: 10.1016/j.radcr.2023.02.021
• Publication Date: 2023-03-05T10:12:52Z
• Authors: Jacub Pandelaki; Hariadi Hadibrata; Ivan Sini; Rajesh Kalwani; Prijo Sidipratomo; Heltara Ramandika; Dieby Adrisyel; Febian Sandra; Jason Jason
• Keywords: Popliteal vein

Deep venous thrombosis might present in an acute condition requiring early thrombus removal. Several endovascular and surgical approaches are available with a short treatment time minimal complications compared to pharmacotherapies. However, due lack of evidence, these not the first choice for deep vein thrombosis. Our case report showed successful multimodality acute-on-chronic massive from inferior vena cava pedal vein. A 47-year-old chief complaints cold, significant swelling, severe pain her left leg was diagnosed through Doppler ultrasound contrast-enhanced computed tomography. The patient received aspiration mechanical thrombectomy "kissing catheter" technique, adjunctive stent, percutaneous transluminal angioplasty, open by Fogarty catheter without recurrence complication.