[Mechanical recanalization of venous thrombosis and pulmonary embolism with the Clotbuster thrombectomy system in a 12-year-old boy]

Z Kardiol. 1998 Apr;87(4):283-7. doi: 10.1007/s003920050181.
[Article in German]

Abstract

The treatment of patients with deep vein thrombosis and pulmonary embolism with contraindications for a thrombolytic therapy is a therapeutic challenge. We report on a 12 year old patient who was treated for large cell lymphoma according to NHL-BFM 95: Block AA protocol. During his therapy, he developed a thrombosis of his right femoral vein and pulmonary embolism affecting the left segments 4, 5, 8, and 9. Because of cerebral metastasis a fibrinolytic therapy was contraindicated. Therefore, we performed a mechanical thrombectomy using the Amplatz thrombectomy device. The postinterventional scintigraphy showed a markedly improved pulmonary perfusion; dopplersonography 4 months postinterventionally showed a patent right femoral vein.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Child
  • Equipment Design
  • Femoral Vein* / diagnostic imaging
  • Follow-Up Studies
  • Humans
  • Lymphoma, Large-Cell, Anaplastic / complications
  • Lymphoma, Large-Cell, Anaplastic / therapy
  • Male
  • Pulmonary Embolism / diagnostic imaging
  • Pulmonary Embolism / etiology
  • Pulmonary Embolism / therapy*
  • Thrombectomy / instrumentation*
  • Thrombosis / diagnostic imaging
  • Thrombosis / etiology
  • Thrombosis / therapy*
  • Treatment Outcome