Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492010000400011
Jornal Vascular Brasileiro
Case Report

Embolia atrial de trombo flutuante da veia safena magna após escleroterapia com microespuma ecoguiada

Atrial embolism of floating thrombus of the great saphenous vein after microfoam ultrasound-guided sclerotherapy

Rubens Pierry Ferreira Lopes; Robson Barbosa de Miranda; Celso Higutchi; Tiago Calheiros de Holanda Barbosa; Ohannes Kafejian

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Resumo

A escleroterapia com microespuma vem sendo utilizada amplamente no tratamento da doença venosa varicosa. No entanto, a despeito da sua pouca invasividade e segurança, complicações potencialmente graves e letais já foram descritas, como o acidente vascular cerebral e parada cardiorrespiratória. Descrevemos um caso de embolia atrial tardia de trombo flutuante da junção safeno-femoral de veia safena magna varicosa, após escleroterapia com microespuma de polidocanol guiada por ultrassom, e o tratamento dessa complicação.

Palavras-chave

Embolia, tromboembolia, escleroterapia, ultrassonografia doppler, veia safena

Abstract

Microfoam sclerotherapy has been widely used in the treatment of varicose vein disease. However, despite its low invasiveness and safety, potentially serious and lethal complications have been described, such as stroke and cardiorespiratory arrest. We describe a case of delayed atrial embolism of floating thrombus in the saphenofemoral junction of a great saphenous varicose vein after microfoam ultrasound-guided sclerotherapy, as well as the treatment of this complication.

Keywords

Embolism, thromboembolism, sclerotherapy, ultrasonography, doppler, saphenous vein

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