Abstract
Pulmonary embolism (PE) associated with duplicated inferior vena cava (IVC) is rare, and there are no reports of this condition treated with catheter-directed thrombolysis. We present the case of a 54-year-old man who developed massive PE caused by thrombi in a duplicated IVC that detached during transcatheter angiography. After implantation of a retrievable filter in the common IVC, the patient underwent catheter-directed thrombolysis. He was asymptomatic at discharge, with complete resolution of thrombosis and successful retrieval of the filter. The patient had an uneventful 9-month follow-up with no further complications.
Copyright © 2016 Elsevier Inc. All rights reserved.
MeSH terms
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Angiography, Digital Subtraction
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Catheterization, Central Venous* / instrumentation
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Catheters
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Device Removal
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Fibrinolytic Agents / administration & dosage*
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Humans
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Infusions, Intravenous
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Male
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Middle Aged
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Phlebography / methods
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Pulmonary Embolism / diagnostic imaging
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Pulmonary Embolism / drug therapy*
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Pulmonary Embolism / etiology*
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Thrombolytic Therapy / instrumentation
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Thrombolytic Therapy / methods*
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Time Factors
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Treatment Outcome
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Urokinase-Type Plasminogen Activator / administration & dosage*
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Vascular Malformations / complications*
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Vascular Malformations / diagnostic imaging
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Vena Cava Filters
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Vena Cava, Inferior / abnormalities*
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Vena Cava, Inferior / diagnostic imaging
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Venous Thrombosis / complications
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Venous Thrombosis / diagnostic imaging
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Venous Thrombosis / drug therapy*
Substances
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Fibrinolytic Agents
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Urokinase-Type Plasminogen Activator