Massive deep vein thrombosis and pulmonary embolism in the course of May-Thurner syndrome – new hybrid venous stent implantation after successful direct thrombolysis complicated with late extraperitoneal bleeding
Janiak B, Babiak I, Czyczerski J, Romanowska A, Janczak D. Massive deep vein thrombosis and pulmonary embolism in the course of May-Thurner syndrome – new hybrid venous stent implantation after successful direct thrombolysis complicated with late extraperitoneal bleeding. Phlebological Review. 2015;23(3):86-91. doi:10.5114/pr.2015.57469.
APA
Janiak, B., Babiak, I., Czyczerski, J., Romanowska, A., & Janczak, D. (2015). Massive deep vein thrombosis and pulmonary embolism in the course of May-Thurner syndrome – new hybrid venous stent implantation after successful direct thrombolysis complicated with late extraperitoneal bleeding. Phlebological Review, 23(3), 86-91. https://doi.org/10.5114/pr.2015.57469
Chicago
Janiak, Bartłomiej, Ireneusz Babiak, Jacek Czyczerski, Agata Romanowska, and Dariusz Janczak. 2015. "Massive deep vein thrombosis and pulmonary embolism in the course of May-Thurner syndrome – new hybrid venous stent implantation after successful direct thrombolysis complicated with late extraperitoneal bleeding". Phlebological Review 23 (3): 86-91. doi:10.5114/pr.2015.57469.
Harvard
Janiak, B., Babiak, I., Czyczerski, J., Romanowska, A., and Janczak, D. (2015). Massive deep vein thrombosis and pulmonary embolism in the course of May-Thurner syndrome – new hybrid venous stent implantation after successful direct thrombolysis complicated with late extraperitoneal bleeding. Phlebological Review, 23(3), pp.86-91. https://doi.org/10.5114/pr.2015.57469
MLA
Janiak, Bartłomiej et al. "Massive deep vein thrombosis and pulmonary embolism in the course of May-Thurner syndrome – new hybrid venous stent implantation after successful direct thrombolysis complicated with late extraperitoneal bleeding." Phlebological Review, vol. 23, no. 3, 2015, pp. 86-91. doi:10.5114/pr.2015.57469.
Vancouver
Janiak B, Babiak I, Czyczerski J, Romanowska A, Janczak D. Massive deep vein thrombosis and pulmonary embolism in the course of May-Thurner syndrome – new hybrid venous stent implantation after successful direct thrombolysis complicated with late extraperitoneal bleeding. Phlebological Review. 2015;23(3):86-91. doi:10.5114/pr.2015.57469.
We present a case of a 37-year-old patient with progressing deep vein thrombosis of the left lower limb, affecting the femoral and iliac veins, and also the distal part of the inferior vena cava, which was accompanied by pulmonary embolism. Endovascular treatment consisted of implantation of a retrievable vena cava filter and catheter-directed thrombolysis of the veins of the lower extremity. Thrombolytic treatment that lasted 72 h resulted in almost complete restoration of patency of thrombosed veins. Still, since intravascular ultrasound revealed a compression of the left iliac vein (May-Thurner syndrome) the treatment was completed by implantation of the new-generation hybrid venous stent: Sinus-Obliquus (Optimed, Ettlingen, Germany). After 3 weeks the caval filter was removed and the patient returned to normal everyday activity.
Keywords
deep venous thrombosis, iliac vein compression syndrome, vena cava filter, venous stenting, direct thrombolysis
