Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202101921
Jornal Vascular Brasileiro
Nota Prévia

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

Fabio Henrique Rossi

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Resumo

Resumo: A trombectomia mecânica venosa ilíaca geralmente é realizada por acesso em veias localizadas nos membros inferiores, o que impossibilita o tratamento da veia femoral profunda, que, por sua vez, é uma importante via de influxo ao stent venoso ilíaco. Descrevemos um caso clínico em que foi aplicada a técnica inédita de trombectomia percutânea, angioplastia e implante de stent, realizada por sessão e acesso único, obtido na veia jugular interna.

Palavras-chave

angioplastia, trombectomia, veia ilíaca, trombose

Abstract

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 We describe a clinical case and the previously unpublished technique of percutaneous thrombectomy, angioplasty, and stent implantation performed in a single session and with a single access, obtained via the internal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.

Keywords

angioplasty; thrombectomy; iliac vein; thrombosis.

Referências

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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. http://dx.doi.org/10.1016/j.ejvs.2020.09.023. PMid:33334670.

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. http://dx.doi.org/10.1016/j.jvsv.2019.06.018. PMid:31471279.

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Submetido em:
28/10/2021

Aceito em:
10/02/2022

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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