Clearing Disseminated Venous Thromboembolism in a Single Procedure Using Thrombolytic-Free Large Bore Suction Thrombectomy: A Versatile Toolbox to Unclog the Venous Circulation

Ann Vasc Dis. 2024 Dec 25;17(4):433-436. doi: 10.3400/avd.cr.24-00069. Epub 2024 Oct 24.

Abstract

Disseminated venous thromboembolism (VTE) occurs commonly in cancer patients, who tend to have contraindications to systemic thrombolysis and require cancer surgery. Such clinical scenarios are often challenging to manage. In this case report, we illustrate an innovative, single procedural approach in such a patient to remove extensive VTE, improve symptoms, prevent hemodynamic decompensation, and allow for a minimal level of anticoagulation such that necessary cancer surgery can proceed safely.

Keywords: inferior vena cava thrombus; mechanical thrombectomy; pulmonary emboli.

Publication types

  • Case Reports