Presentation is loading. Please wait.

Presentation is loading. Please wait.

Pulse-spray catheter-directed thrombolysis with urokinase and argatroban for thrombo- occlusion of an inferior vena cava filter due to heparin-induced.

Published byCassandra Hodges Modified over 6 years ago

Similar presentations

Presentation on theme: "Pulse-spray catheter-directed thrombolysis with urokinase and argatroban for thrombo- occlusion of an inferior vena cava filter due to heparin-induced."— Presentation transcript:

1 Pulse-spray catheter-directed thrombolysis with urokinase and argatroban for thrombo- occlusion of an inferior vena cava filter due to heparin-induced thrombocytopenia with thrombosis  Yoshito Ogihara, MD, Norikazu Yamada, MD, PhD, FJCC, Akimasa Matsuda, MD, PhD, Satoshi Ota, MD, PhD, Masaaki Ito, MD, PhD, FJCC  Journal of Cardiology Cases  Volume 13, Issue 4, Pages (April 2016) DOI: /j.jccase Copyright © 2016 Japanese College of Cardiology Terms and Conditions

2 Fig. 1 Contrast-enhanced computed tomography (CT). (a)–(c) Before catheter-directed thrombolysis (CDT), (d)–(f) after CDT. (a and d) Coronal plane, (b and e) level of common iliac veins, (c and f) level of common femoral veins. Contrast-enhanced CT reveals thrombo-occlusion from below the inferior vena cava (IVC) filter to the right popliteal vein and left femoral vein prior to CDT (a, b, and c), and disappearance of nearly the entire thrombosis with a small amount of residual mural thrombosis after CDT, which resulted in successful retrieval of the IVC filter (d, e, and f). Red arrow: IVC filter, yellow arrow: venous thrombosis, green arrow: residual mural thrombosis, yellow arrow head: deep vein after thrombolysis. Journal of Cardiology Cases  , DOI: ( /j.jccase ) Copyright © 2016 Japanese College of Cardiology Terms and Conditions

3 Fig. 2 Venography. (a and b) Through the sheath via the right popliteal vein, (c and d) through the sheath via the left superficial femoral vein. The venography reveals that the thrombosis occluded from below the inferior vena cava (IVC) filter to the right popliteal vein on day 10 of hospitalization (a) and from the left common iliac vein to the left femoral vein on day 17 (c) (red arrow: IVC filter) and that the catheter and wire for catheter-directed thrombolysis (CDT) was placed through the thrombosis (a). The yellow lines indicate the thrombosis. The venography shows almost complete disappearance of the thrombosis after CDT (b and d). Journal of Cardiology Cases  , DOI: ( /j.jccase ) Copyright © 2016 Japanese College of Cardiology Terms and Conditions

4 Fig. 3 The summarized clinical course, platelet count, and d-dimer level. IVC, inferior vena cava; CT, computed tomography; AT, antithrombin; UFH, unfractionated heparin; CDT, catheter-directed thrombolysis. Journal of Cardiology Cases  , DOI: ( /j.jccase ) Copyright © 2016 Japanese College of Cardiology Terms and Conditions

Download ppt "Pulse-spray catheter-directed thrombolysis with urokinase and argatroban for thrombo- occlusion of an inferior vena cava filter due to heparin-induced."

Similar presentations

Intermittent pneumatic compression of the foot and calf improves the outcome of catheter-directed thrombolysis using low-dose urokinase in patients with.

Intermittent pneumatic compression of the foot and calf improves the outcome of catheter-directed thrombolysis using low-dose urokinase in patients with.
Volume 151, Issue 2, Pages e35-e39 (February 2017)

Volume 151, Issue 2, Pages e35-e39 (February 2017)
Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava  Nitin Garg, MBBS,

Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava  Nitin Garg, MBBS,
Nicos Labropoulos, PhD, DIC, RVT, Antonios P

Nicos Labropoulos, PhD, DIC, RVT, Antonios P
Khanjan Baxi, BS, Samir K. Shah, MD, Daniel G. Clair, MD 

Khanjan Baxi, BS, Samir K. Shah, MD, Daniel G. Clair, MD 
Staged reconstruction of the inferior vena cava after gunshot injury

Staged reconstruction of the inferior vena cava after gunshot injury
Volume 151, Issue 2, Pages e35-e39 (February 2017)

Volume 151, Issue 2, Pages e35-e39 (February 2017)
Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate.

Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate.
Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion  Joseph R. Schneider, MD, PhD,

Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion  Joseph R. Schneider, MD, PhD,
Intravenous leiomyomatosis presenting as acute Budd-Chiari syndrome

Intravenous leiomyomatosis presenting as acute Budd-Chiari syndrome
Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava  Nitin Garg, MBBS,

Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava  Nitin Garg, MBBS,
Open surgical inferior vena cava filter retrieval for caval perforation and a novel technique for minimal cavotomy filter extraction  Peter H. Connolly,

Open surgical inferior vena cava filter retrieval for caval perforation and a novel technique for minimal cavotomy filter extraction  Peter H. Connolly,
Vena cava filters and inferior vena cava thrombosis

Vena cava filters and inferior vena cava thrombosis
Pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis: Safety and feasibility study  Ruth L. Bush, MD, Peter.

Pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis: Safety and feasibility study  Ruth L. Bush, MD, Peter.
Surgical management of a neuroendocrine tumor of the inferior vena cava  George Ransford, MD, Rajnikanth Ayyathurai, MD, Gustavo Fernandez, MD, Gaetano.

Surgical management of a neuroendocrine tumor of the inferior vena cava  George Ransford, MD, Rajnikanth Ayyathurai, MD, Gustavo Fernandez, MD, Gaetano.
Don't look now! Risk stratify first

Don't look now! Risk stratify first
Clinical evaluation of suspected deep vein thrombosis guides the decision to anticoagulate prophylactically but does not impact the decision to perform.

Clinical evaluation of suspected deep vein thrombosis guides the decision to anticoagulate prophylactically but does not impact the decision to perform.
Christopher T. Healey, MD, Neil Halin, DO, Mark Iafrati, MD 

Christopher T. Healey, MD, Neil Halin, DO, Mark Iafrati, MD 
Mechanical and pharmacologic catheter-directed thrombolysis treatment of severe, symptomatic, bilateral deep vein thrombosis with congenital absence of.

Mechanical and pharmacologic catheter-directed thrombolysis treatment of severe, symptomatic, bilateral deep vein thrombosis with congenital absence of.
Congenital absence of the inferior vena cava with bilateral iliofemoral acute deep venous thrombosis  Sungho Lim, MD, Pegge M. Halandras, MD, Richard.

Congenital absence of the inferior vena cava with bilateral iliofemoral acute deep venous thrombosis  Sungho Lim, MD, Pegge M. Halandras, MD, Richard.

Similar presentations

Ads by Google