Trombectomia em caso grave de trombose venosa iliofemoral afetando a veia femoral profunda pela técnica de punção e sessão única realizada pela veia jugular: relato de caso e descrição da técnica
Thrombectomy in a severe case of iliofemoral venous thrombosis involving the deep femoral vein via a single percutaneous access from the jugular vein: case report and description of the technique
Iliac vein thrombectomy is usually performed via access through veins located in the lower limbs, which makes it impossible to treat the deep femoral vein, which in turn is an important inflow route to the iliac vein stent. We describe a clinical case and the previously unpublished technique of percutaneous thrombectomy, angioplasty, and stent implantation performed in a single session and with a single access, obtained via the internal jugular vein.
1 Park SI, Lee M, Lee MS, Kim MD, Won JY, Lee DY. Single-session aspiration thrombectomy of lower extremity deep vein thrombosis using large-size catheter without pharmacologic thrombolysis. Cardiovasc Intervent Radiol. 2014;37(2):412-9.
2 Kakkos SK, Gohel M, Baekgaard N, et al. Editor’s Choice: European Society for Vascular Surgery (ESVS) 2021 clinical practice guidelines on the management of venous thrombosis. Eur J Vasc Endovasc. 2021;61(1):9-82.
3 Ascher E, Chait J, Pavalonis A, Marks N, Hingorani A, Kibrik P. Fast-track thrombolysis protocol: a single-session approach for acute iliofemoral deep venous thrombosis. J Vasc Surg Venous Lymphat Disord. 2019;7(6):773-80.
4 Rossi FH, Gama CAR, Fonseca IYI, et al. Computed Tomograpy Venography diagnosis of iliocaval venous obstruction in advanced chronic venous insufficiency. J Vasc Bras. 2014;13(4):306-11.
5 Rossi FH, Kambara AM, Rodrigues TO, et al. Comparison of computed tomography venography and intravascular ultrasound in screening and classification of iliac vein obstruction in patients with chronic venous disease. J Vasc Surg Venous Lymphat Disord. 2020;8(3):413-22.
6 Kim BJ, Chung HH, Lee SH, et al. Single-session endovascular treatment for symptomatic lower extremity deep vein thrombosis: a feasibility study. Acta Radiol. 2010;51(3):248-55.
7 Raju S, Fountain T, Neglén P, Devidas M. Axial transformation of the profunda femoris vein. J Vasc Surg. 1998;27(4):651-9.
8 Raju S, Davis M. Anomalous features of iliac vein stenosis that affect diagnosis and treatment. J Vasc Surg Venous Lymphat Disord. 2014;2(3):260-7.