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Case Reports
. 2017:2017:3746815.
doi: 10.1155/2017/3746815. Epub 2017 Aug 29.

Iatrogenic IVC Perforation after Successful Catheter-Directed Thrombolysis

Ata Firoozi  1   2 , Jamal Moosavi  1   2 , Omid Shafe  1   2 , Parham Sadeghipour  1   2
Affiliations
Case Reports

Iatrogenic IVC Perforation after Successful Catheter-Directed Thrombolysis

Ata Firoozi et al. Case Rep Vasc Med. 2017.

Abstract

Central vein perforation as a rare complication of venous interventions is considered a nightmare if occurring in thoracic cage but behaves benignly in abdominal or pelvic region. This is not a rule, as we unfortunately encountered during the procedure of venous intervention in our patient. Although mechanical control of iatrogenic perforation or rupture is the first and most critical step during interventional procedures, the importance of anticoagulant and thrombolytic agents reversal should not be overlooked.

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Figures

Figure 1
Figure 1
Thrombotic occlusion of femoral vein (patient in prone position).
Figure 2
Figure 2
Follow-up venography revealed dramatic resolution of clot burden.
Figure 3
Figure 3
Leakage out of caveofemoral junction extensively.
Figure 4
Figure 4
Unsuccessful result of balloon inflations forced us to decide to reverse anticoagulant condition of our patient (supine position).
Figure 5
Figure 5
Final result of procedure.
Figure 6
Figure 6
Follow-up CT scan showed patent iliac vein stent.
See this image and copyright information in PMC

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