Percutaneous endovascular catheter aspiration thrombectomy of severe superior vena cava syndrome
- 1Division of Neonatology, University Hospital for Children and Adolescents, Loschgestrasse 15, 91054 Erlangen, Germany
- 2Division of Pediatric Cardiology, University Hospital for Children and Adolescents
- Correspondence to:
Dr M Ries, Klinik für Kinderheilkunde und Jugendmedizin, Bismarckstrasse 23, 87700 Memmingen, Germany;
dr.ries{at}kinderklinik-memmingen.de
- Accepted 29 January 2002
Abstract
We report a combined percutaneous endovascular approach, including thrombus aspiration and catheter directed local thrombolysis, followed by systemic thrombolytic therapy to treat severe superior vena cava syndrome in a 2½12 week old infant. This procedure was performed on the fifth postoperative day after major surgery. No treatment complications were observed. The only predisposing condition for thrombosis was a central venous line. No other acquired or genetic risk factors for thrombosis could be found.
- percutaneous endovascular catheter aspiration thrombectomy
- superior vena cava syndrome
- thrombolytic therapy
- CVL, central venous line
- LMWH, low molecular weight heparin
- rt-PA, recombinant tissue type plasminogen activator
- UFH, unfractionated heparin
