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Case Report
Suprarenal IVC Filter Deployment with CDT for Acute DVT and Infrarenal IVC Filter Thrombus
Abstract
We report a patient with recurrent deep vein thrombosis (DVT) for last 8 years. He maintained therapeutic level of international normalized ratio with oral anticoagulants and aspirin. However he continued to have recurrent massive DVT, which necessitated infrarenal inferior vena cava (IVC) filter placement with catheter directed thrombolysis (CDT). Subsequently the patient presented with extension of the thrombus into the infrarenal IVC, the IVC filter and beyond the IVC filter. The patient was managed with a suprarenal IVC filter deployment and CDT.
Introduction
Don’t Forget Fogarty
author affiliations:
From the Department of Cardiology, St. Luke’s Medical Center, and the University of Arizona College of Medicine, Phoenix, Arizona.
The author reports no conflicts of interest regarding the content herein.
Manuscript submitted February 10, 2009, provisional acceptance given February 19, 2009, and final version accepted February 23, 2009.
Address for correspondence: Richard R. Heuser, MD, FACC, FACP, FESC, FASCI, Director of Cardiology, St. Luke’s Medical Center, Clinical Professor of Medicine, University of Arizona College of Medicine, 1331 N. 7th S
Vascular Complications of Osteochondromas: A Report of Two Cases
Introduction
Osteochondromas, or exostoses, are the most common form of benign bone tumor, representing about 20–50% of all benign and 10–15% of all bone tumors.1 Patients rarely develop vascular complications. In the English literature, only 106 cases are reported. The development of a pseudoaneurysm, which was first described by Paul in 1953,2 is reported in 58 cases.1,3–7
We report two cases of vascular complications of osteochondromas: a pseudoaneurysm and an arterial occlusion.
Case Report 1
A 22-year-old male with a smoking habit and an HIV infection prese
Focal Neurologic Symptoms and Diminished Flow to an Upper Extremity Arteriovenous Fistula
Following Placement of a Thoracic Aortic Endograft: Successful Treatment with Carotid Subclavian Bypass
Introduction
Most traumatic thoracic aortic disruptions occur in the proximal descending thoracic aorta. A significant number of patients with thoracic aortic pathology are found to have disease adjacent to the origin of the great vessels. Endovascular treatment of these injuries often requires either partial or complete intentional coverage of the origin of the left subclavian artery (LSA) in order to obtain an adequate length of the proximal landing zone. The majority
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CME Showcase
"Diabetic Peripheral Neuropathy"
Upcoming Accredited Webcast Release Date: December 22, 2008 Expiration Date: December 22, 2009 This activity is supported by an educational grant from PamLabs. To register for this Webcast, visit www.naccme.com/program/n-558/ |
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