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CardioVascular and Interventional Radiology

, Volume 27, Issue 3, pp 254–258 | Cite as

Mechanical Thrombectomy of Iliocaval Thrombosis Using a Protective Expandable Sheath

  • Tri H. Truong
  • Elmar Spuentrup
  • Gundula Staatz
  • Joachim E. Wildberger
  • Thomas Schmitz-Rode
  • Claus C.A. Nolte-Ernsting
  • Rolf W. Günther
  • Patrick Haage
Article

Abstract

We report a case of successful percutaneous treatment of a subacute ilio-caval venous thrombosis in a 64-year-old female patient by using a novel combination of a rotatory fragmentation device (percutaneous thrombectomy device: PTD) and large wire basket (temporary Günther basket filter) under temporary caval filter protection using an expandable sheath. Because the patient had multiple myeloma with increased risk for contrast media-induced renal failure, the therapeutic angiographic procedure was performed without iodinated contrast medium. Non-contrast-enhanced MR venography (high-resolution True FISP) confirmed the effective thrombus removal by the percutaneous mechanical thrombectomy procedure.

Keywords

Veins, thrombosis—Thrombectomy, device—Vena cavae, filters—MR venography 

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Copyright information

© Springer-Verlag New York, Inc. 2004

Authors and Affiliations

  • Tri H. Truong
    • 1
  • Elmar Spuentrup
    • 1
  • Gundula Staatz
    • 1
  • Joachim E. Wildberger
    • 1
  • Thomas Schmitz-Rode
    • 1
  • Claus C.A. Nolte-Ernsting
    • 1
  • Rolf W. Günther
    • 1
  • Patrick Haage
    • 1
  1. 1.Department of Diagnostic RadiologyUniversity of Technology, Pauwelsstrasse 30 D-52057 AachenGermany

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